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hi,

I am having a 35 yrs old female patient with pain over the medial aspect the right foot for 2 yrs duration.

I saw her last week and she took all kind of analgesics, CT foot done (normal ).

clinically she has swelling middle of the medial arch , not warm, no tenderness
over the swelling. but she has more tenderness over the navicular region, along the course of tib.posterior tendon.

more pain during walking and inversion. no rest and night pain.

USG foot shows signal intensity changes in tibialis posterior tendon with minimal fluid collection in tendon sheath. we don't have podiatrist in our place

I came to know about this condition through podiatry arena only.

how do I proceed. conservative /surgery.

suggestion

suresh