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Painful left foot(3rd/4th met area) when in snowboarding boot only.
No symptoms or pain until what patient describes as a "painful clicking/dislocation feeling" this appears to be caused by a sudden twist or dorsiflexion movement.
Symptoms reduced striaght away after removal of boot, although for the next few days, patient able to reproduce "click" by dorsiflexing/plantarflexing 3rd/4th mets, but this calms down.
I have been able to reproduce this, is sounds like either the nerve is clicking or is it maybe the two met heads?????
Patient has got a large and extra wide fitting boot!!!!
I am thinking compression is the cause, but how do i deal with the control of the dorsiflexion movement????