Post ‘hallux limitus’ exostectomy

Have just had a 91 year old male patient p/w ‘ a pain in my right foot’ only hx of ‘low back pain’ and only on anti-hypertensives 2005’ish had r/1st metatarsal (distal) exostectomy by podiatric surgeon; also ‘did something to my (r/plantar fascia)” presenting complaint; c/o r/1st medial interphalangeal joint pain when weight-bearing; no lesion no erythema gait; does not plantarflex r/1st > no ground contact > > passive rom r/1st mpj seems adequate and certainly has strength in the r/1st plantarflexorsl r/2nd apex erythematous and swollen, mallet like appearance supination resistance test; very hard b/feet have fitted a r/cluffy wedge and replaced section of sock lining beneath r/2/apex with a poron/plastazote plug; also fitted bilateral rearfoot varus wedges; > > pt ecstatic walking out of clinic but have had many with symptoms returning ‘after a few weeks/months” so would appreciate any suggestions, mark of canberra

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Post ‘hallux limitus’ exostectomy

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