The patient is a 27-year-old male who presents to urgent care with foot pain, for which he says there is no explanation. With probing, he reveals that he is a “fanatic” about running, and that the pain has persisted for close to 7 months.

View the images taken and consider what the diagnosis and next steps would be. Resolution of the case is described on the next page.



Differential Diagnosis

  • Capsulitis
  • Freiberg disease
  • Metatarsal stress fracture
  • Metatarsalgia
  • Tendinitis


A Runner with a History of Foot Pain
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