What can persistent foot pain reveal about an athlete’s biomechanics? Dr. Tim Maggs examines the case of a 45-year-old marathon runner whose recurring left foot pain has kept him from returning to running and basketball.

In this educational case review, Dr. Maggs walks through his evaluation process, including X-rays, foot support, and a significant difference in femoral head height. He discusses a heel spur finding, the possibility of underlying bone marrow edema, and the role of MRI in clarifying the diagnosis.

Drawing on his experience with runner Grace Kahura, Dr. Maggs shares his approach to orthotics, heel lifts, activity modification, and treatment planning. He also explains how he communicates findings and care options to help patients understand their next steps.

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