Pain over dorsal area of foot

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dorsal foot pain weight bearing extensor tendinitis physiotherapy TENS ultrasound treatment

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Present Complaints

Pain over the dorsal area of the foot, aggravated on walking and weight-bearing
Tenderness on palpation over extensor tendons
No tingling/numbness

HOPI

26-year-old female, gradual onset, no trauma, worsened with tight footwear and prolonged standing

Assessment

Tenderness over extensor tendons on dorsum
Pain on resisted dorsiflexion/toe extension
Antalgic gait, mildly restricted ankle ROM
VAS 6/10 on walking; Tinel's sign over deep peroneal nerve to be checked

Diagnosis

Extensor Tendinitis of the Foot (primary)
Rule out: Anterior Tarsal Tunnel Syndrome, Stress Fracture, L5 Radiculopathy

Treatment (continuing from Day 1 as already recorded)

TENS: 80–100 Hz, 15–20 min over dorsum
US: 1 MHz, 1.0–1.5 W/cm², pulsed 1:4, 5–7 min over extensor tendons
Ergonomics: proper footwear, avoid tight laces, activity modification
Ice therapy, calf/extensor stretching, progressive strengthening
5-session plan with review

Note: The diagnosis and HOPI details are clinically suggested based on the complaint of dorsal foot pain with weight-bearing aggravation in a 26-year-old female. The treating physiotherapist should confirm these on direct examination.

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