Patient presents with complaints consistent with hallux limitus, characterized by restricted range of motion of the first metatarsophalangeal joint (MTPJ).  Symptoms include pain, stiffness, and limited dorsiflexion of the great toe, exacerbated by activities such as walking, running, and squatting.  The patient reports experiencing dorsal first MTPJ pain, sometimes described as a burning or aching sensation.  On physical examination, decreased dorsiflexion of the hallux is noted, potentially accompanied by palpable crepitus or a bony prominence (dorsal osteophyte) on the dorsal aspect of the first metatarsophalangeal joint.  Assessment includes evaluation for hallux rigidus, osteoarthritis of the first MTPJ, and first metatarsophalangeal joint pain.  Differential diagnosis includes sesamoiditis, gout, and turf toe.  Initial treatment plan includes conservative measures such as nonsteroidal anti-inflammatory drugs (NSAIDs), shoe modifications (e.g., wide toe box shoes), orthotics (e.g., Morton's extension), and physical therapy focused on range of motion exercises and joint mobilization.  Radiographic imaging (X-ray) of the foot is ordered to assess the degree of joint degeneration and confirm the diagnosis of hallux limitus.  Further treatment options, including corticosteroid injections or surgical intervention (e.g., cheilectomy, arthrodesis), will be considered if conservative management fails to provide adequate symptom relief.  Patient education regarding activity modification and proper footwear is provided.  Follow-up appointment scheduled to monitor treatment progress and adjust the plan as needed.