Hi All,
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I am a student and have seen a patient who has a 6 month history of left lateral forefoot pain.
Symptoms increase with weightbearing and reduce with rest.
Pain is localised to forefoot and worse when wearing tight fitting/increased heel height shoes.
On ultrasound, a bursa measuring 9mm in diameter was found in the 3rd intermetatarsal space. I have suggested orthoses might be appropriate to manage the problem and believe a mid foot device is the best option (as it would redistribute pressure away from the forefoot).
Does any one have any references or articles I could read that would agree with my treatment plan? Also, does anyone have any extra information on how a mid foot orthotic is in fact, the best option?
Thanks a lot
Alice
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