I have a question I am a recent graduate and work as a sole practitioner so just want to clarify something. I had a patient today referred to be by their GP for arthritis in their 1st MTPJ. On examination there was limited dorsi and plantarflexion of the 1st ray. The patient reports pain of approx 18mth duration and on a scale of 1-10 announces the pain as a 3 so not too bad. I have orderd a pair of off-the-shelf orthotics as not currently doing custom ones - was thinking a 1st ray cut out and maybe some correction as the patient pronates considerably on their left foot.
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Any suggestions would be appreciated.
Many thanks
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