hello all,
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Recently I recieved a referral from an orthopaedic surgeon to consider some form of orthotic therapy for a patient of his, i would like to add before i go on, the following surgical procedure was not completed by him.
58 year old female with metarsalgia and a dorsiflexed hallux following an unsuccesful fusion of 1st MTPJ of the left foot. Patients history is quite remarkable, pateint is not taking any medication and suffers from no systemic conditions apart osteoarthritis. She had 1st MTPJ fusion one year ago and has, ever since had nothing but problems, not only is the hallux dorsiflexed she still continues to experience pain within the joint and suffers from metatarsalgia in that foot respectively.
My quesiton is, would anybody consider there to be an appropriate orthotic to help manage this pain? as she is not keen to undergo any further surgery to rectify the problem, she said she has been left rather dispondant following the surgery and wishes she had never gone through with it.
Would the course of action be to try to deal with the metarsalgia with met bar etc? During examination hallux is rigid and in a fixed dorsiflexed position.
Any advice would be very much welcomed
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