17-year-old female high school swimmer presents with a complaint of pain, which increased recently in her left forefoot at 2nd metatarsophalangeal joint. She has noted a prominence in this region for several years and mild discomfort. Her foot pain increased in the last month due to running as required conditioning for swimming and when she pushes off with that foot during her turn while swimming. She has noted some mild swelling at times. There is no history of any acute injury.
PMH: Asthma, bilateral rotator cuff tendonitis
Meds: Zyrtec, Singulair, Advair, Combivent
SH: Senior in high school, good student.
Exercise history: swimming 8000 meters twice daily, running several miles 2 – 3 times a week and weight training twice a week.
|
