Unilateral MTPjt pain – Rx / Orthotic challenges

I wonder if anyone out there could suggest anything which I might have overlooked for a patient who is suffering terrible pain from her left 1st MTPjt, and seriously considering surgery. CC: A 32 y/o white female with a 6/12 history of aching pain over dorsolateral aspeht of the L/1st MTPjt. Its onset was gradual

I wonder if anyone out there could suggest anything which I might have overlooked for a patient who is suffering terrible pain from her left 1st MTPjt, and seriously considering surgery. CC: A 32 y/o white female with a 6/12 history of aching pain over dorsolateral aspeht of the L/1st MTPjt. Its onset was gradual

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Unilateral MTPjt pain – Rx / Orthotic challenges