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A satisfying treatment today removing a painful callus under the plantar fifth metatarsal head, with another developing under the plantar first metatarsal head. This patient is a great example of how foot structure directly influences pressure and function. They have a high-arched (cavus) foot, with a high medial arch, lateral arch, and transverse arch. Because of this shape, pressure tends to concentrate on the first and fifth metatarsal heads, while the second, third, and fourth metatarsals ca
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