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July 3, 2012

From the Vault: A case description of a 36 year old runner with 1st MTP pain.

Functional Anatomy Seminars - Functional Anatomic Palpation Systems™ | Functional Range Release™

A 36-year-old runner presented to me yesterday complaining of pain on the bottom of the great toe in the region of the first MTP joint.  The problem began one week prior when he mis-judged a curb height during one of his runs and struck it with the foot forcefully dorsiflexing the toes.  The patient felt mild pain immediately that became more severe several hours later.

Symptomatically the patient complained of pain with dorsiflexion of the great toe during gait as well as tenderness to palpation in the region of the metatarsal heads.

Physical examination revealed pain with passive dorsiflexion of the first MTP, which was slightly exacerbated when performed with the ankle in plantarflexion.  Active resisted flexion of the toe was also painful, again made worse in ankle plantar flexion.  No pain was noted with passive flexion, and only mild pain was produced with adduction of the great toe. …

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