Right 1st Painful lesion

HI All, Would love some help regarding a patient who I am having difficulty with currently. 41 YR Old man History of anxiety and depression Low Social economic Low limb Blood flow and nerve conduction WNL Referral from GP saying “painful corn Right 1st” Presents with approx 6 month history of painful lesion on Right 1st medial MTPJ

HI All, Would love some help regarding a patient who I am having difficulty with currently. 41 YR Old man History of anxiety and depression Low Social economic Low limb Blood flow and nerve conduction WNL Referral from GP saying “painful corn Right 1st” Presents with approx 6 month history of painful lesion on Right 1st medial MTPJ

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Right 1st Painful lesion