Podiatry - Metatarsalgia
Orthopedics & Podiatry Main Menu
- Idiopathic pain on the
plantar aspect of the ball of the foot.
Initial Diagnosis and Management
- History and physical
weight-bearing foot x-rays and laboratory studies (Rheumatology panel
evaluation if inflammatory, bilateral, and accompanied by other joint
Ongoing Management and Objectives
- Initial primary care
treatment should consist of a three-month trial of the following: NSAIDs,
over-the-counter soft insoles (i.e., Spenco), soft supporting shoes with a
wide toe box (running or walking type), decreased activity (rest).
Indications for Specialty Care Referral
- Patients without
improvement of symptoms after the three-month trial period can be referred
to the Podiatry Clinic.
- All Retiree's, VA and dependants with foot conditions
30, 31, 01, 02, 03, 04 etc.. Respectfully need to be routed to Scholfied Barracks Podiatry or net worked
out for treatment. Tripler Podiatry unfortunately does not provide orthotics or inserts for dependants,
VA or Retiree's.
Criteria for Return to Primary Care
- Patients will be returned
to primary care for chronic management after biomechanical/orthotic
management (non-surgical candidates) or surgical treatment is complete.