105939 UWORLD OMT 2
Question: A 36-year-old female comes to the office with pain in her left foot. She is a long-distance runner and increased the distance of her runs 3 weeks ago. The pain is located in the left midfoot region and is worsened with running and improved with rest, ice, and nonsteroidal anti-inflammatory drugs. On physical examination, there is mild tenderness anterior and inferior to the medial malleolus. Both the medial longitudinal and transverse tarsal arches are flattened. This patient most likely has a somatic dysfunction of which of the following bones?
Educational objective:
Navicular bone somatic dysfunction frequently occurs in runners and can manifest as the collapse of both the medial longitudinal arch and transverse tarsal arch with tenderness anterior and inferior to the medial malleolus.