Hi,
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Can anyone help? I had a man in his thirties present to me with pain in the dorsum of his left foot in the region of his lateral cuneiform. This has practically stopped him walking as he can hardly bear weight on the foot due to the pain. The interesting thing is that it came about after a good nights sleep and there was no history of trauma. Passive inversion of the foot reproduces pain and lateral compression of the forefoot causes the pain to radiate from the forefoot up to the central point of pain. He had difficulty in actively dorsiflexing the foot due to pain also. My patient tells me that he works as a teacher and runs up and down stairs for most of the day, and prior to this injury he had suffered from symptoms akin to a neuroma on the forefoot. He also told me that about a week ago he had felt something 'give' in his foot whereupon he quickly diverted his weight as he felt that he was going to injure himself. But nothing came of this until he woke up the other day from a good nights sleep. Any ideas?
Cheers Poduk55
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