Thanks Steve.

It can be confusing at times whether a hyperechoic muscle belly is due to trauma (muscle strain, DOMS), fatty atrophy due to denervation/neuritis or (like you said) due to diabetes.

IN my case, I compared to other side and there is a difference in hypoechogenicity and volume of the abductor hallucis.
Rob taught us to compare the Abductor hallucis to the abductor digiti minimi of the same foot also (Duel screen).

I should have asked if patient is diabetic though. Nice tip!

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