Forefoot Examination

Forefoot examination in isolation is a thorough assessment of the hallux and the lesser toes from the dorsum and plantar aspects as well as their tips

Gait - observe particularly the last phase of stance for forefoot problems

Hindfoot - assess for relevant pathology such as malalignment and restricted dorsiflexion which can lead to gait abnormality and forefoot overload

Callosities - under metatarsal heads (metatarsal overload) or tips of digits or medial hallux or lateral fifth toe. These can be indicators of painful areas for footwear or during weightbearing activity

Malalignment - of digits and crowding or clawing of the lesser toes

Tenderness - of MTPJs or digits with palpation or pain with movement

Deformities - are they correctable

Mulder's click - Firm palpation with knuckle applied to webspace between affected heads, the other hand applies compressive force across metatarsal heads, looking for clicking and replication of pain in Morton's neuroma.