Freiberg’s Disease/Infraction

By |2023-02-01T08:09:40+11:00June 9th, 2022|Foot pain|

Blog's main page A patient has presented this week with pain in the forefoot. The pain was marked and typical for generalised forefoot pain. Her recent treatment has focused on a 'neuroma' or 'bursitis'. The treatment interventions have been unsuccessful, and she was referred to me. On examination, her pain was solely focused around a slightly [...]

Post-operative wounds

By |2023-02-11T19:10:03+11:00April 29th, 2022|Foot pain, Hallux limitus, MTPJ, Post operative|

Blog's main page The images show how a foot can look at six weeks post-op. This patient had chronic painful 1st and 2nd MTPJs. On clinical and radiographic imaging, it was shown she had hallux limitus with an abducted hallux and chronic overload to the 2nd MTPJ. The image on the left is intra-operative and shows [...]

Remember functional anatomy and to x-ray

By |2023-04-26T10:02:37+10:00May 25th, 2021|Diagnosis|

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 [...]

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