Specialists

Featured on Channel NewsAsia

Turf Toe

SYMPTOMS

There is a gradually increasing stiffness and diffuse aching pain around MTP I. Commonly affects team sports players who wear studded shoes.

AETIOLOGY

Common theories include repetitive minor trauma to the capsule and cartilage of MTP I from ill-fitting shoes, direct impact and playing on hard turf with shoes that get stuck. […]

Tarsal Coalition

SYMPTOMS

There is diffuse exercise-induced aching pain around the sub-talar joint, sometimes after previous sprain.

AETIOLOGY

The aetiology is unclear. Sub-talar structures fuse over time by fibrosis or callus formation.

CLINICAL FINDINGS

There is tenderness on palpation over the sub-talar joint (sinus tarsi), decreased mobility and swelling.

INVESTIGATIONS

X-ray may show talo-navicular coalition; talo-calcaneal coalition […]

Sub-Talar Instability and Pain

SYMPTOMS

There is increasing stiffness or sense of instability combined with diffuse aching pain around and below the talo-tibial ankle joint, often occurring after previous sprain.

AETIOLOGY

The aetiology is unclear but the trauma may have caused structural damage to the region that can be missed.

CLINICAL FINDINGS

There is tenderness on palpation over the […]

Stress Fractures of the Foot

SYMPTOMS

There is increasing localised pain over a bony prominence, often with no direct preceding trauma. The start of symptoms can be acute. There is often a history of suddenly increased training intensity or jumping or running on hard surfaces. A number of famous footballers’ metatarsal stress fractures have figured in the media over the […]

Sesam Bone Stress Fractures

SYMPTOMS

There is gradually increasing exerciseinduced pain and swelling around and below MTP I or diffuse pain in the forefoot on forefoot landings and running.

AETIOLOGY

This injury is usually caused by excessive direct impact from landing on the forefoot on hard surfaces.

CLINICAL FINDINGS

There is distinct tenderness on palpation over the medial or […]