Blog's main page This patient presented with a painful enlarged 2nd MTPJ, but her main concern was the fact that the associated 2nd toe is "floppy" and catches on the ground. She has had previous surgery on this 2nd MTPJ when in her 20s. She can no longer walk barefoot, and it is now leading to [...]
Blog's main page This is one of a few subungual exostoses I see regularly throughout the year. Often when I see these cases, they have been treated as an ingrown toenail for some time. I find they have a very particular appearance (a firm fibrous/callus on top) and sit just under the nail. Sometimes they can [...]
Blog's main page This patient presented approximately two weeks ago with a history of long-term gout. He is only in his thirties, and his history of supposed gout flare-ups does not seem like your typical gout presentation. He has marked symptoms; however, the 1st MTPJ is never red, hot and swollen. He had blood tests many [...]
Blog's main page I operated on this patient last week. She had suffered from marked left 1st MTPJ pain. She had been treated for her bunion via rest, orthotics, mobilisation, medication and various splints. No pain relief was achieved, and she noted that the joint was becoming slightly stiff and more symptomatic. X-ray assessment showed a [...]
Blog's main page This patient presented with a history of markedly painful posterior heel "bumps". She has noted them for approximately two years. The patient is now having major problems with any enclosed shoes. The area rubs become red and enlarged and can blister. She feels she has exhausted conservative care. She is young and is [...]
Blog's main page In the last few months, I have had two patients with symptomatic foreign objects located deep to skin. These objects cannot be seen or palpated through the skin. It is vitally important to keep plantar skin incisions to a minimum to reduce the risk of creating a plantar scar. Due to weight-bearing forces, [...]
Blog's main page This is an interesting case I have dealt with recently. The patient was sent to me with long-standing, markedly painful and stiff 1st metatarsophalangeal joints (MTPJ). Clinical examination showed no dorsiflexion with the patient guarding the joint due when any motion was attempted. All conservative care had been exhausted with no success. Weight-bearing [...]
