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The back of the heel is never swollen or red, unless there has been shoe rubbing. When the back of the heel is squeezed from the inside and outside, children with calcaneal apophysitis will report pain. Foot radiographs are not needed to diagnose calcaneal apophysitis as the growth plate can look similar with or without pain.
Middle age is the most common age of affection, females are more affected than males, and the occurrence is often bilateral. A clinical feature of this condition is pain in the back of the heel, which is more after rest. Clinical evaluation and lateral radiographs of the ankle are mostly enough to make a diagnosis of Haglund's syndrome. [2]
Diagnosis is based on symptoms and history of the event. People describe it like being kicked or shot behind the ankle. During physical examination, a gap may be felt above the heel unless swelling is present. A common physical exam test the doctor or provider may perform is the Simmonds' test (aka Thompson test). To perform the test, have the ...
A calcaneal fracture is a break of the calcaneus (heel bone). [1] Symptoms may include pain, bruising, trouble walking, and deformity of the heel. [1] It may be associated with breaks of the hip or back. [1] It usually occurs when a person lands on their feet following a fall from a height or during a motor vehicle collision.
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Plantar fasciitis or plantar heel pain is a disorder of the plantar fascia, which is the connective tissue that supports the arch of the foot. [2] It results in pain in the heel and bottom of the foot that is usually most severe with the first steps of the day or following a period of rest.
Heel pad syndrome is a pain that occurs in the center of the heel. [1] There are many causes, but a mechanical etiology is most common: risk factors include obesity. [1] Other conditions with similar symptoms include plantar fasciitis. [1] Treatment includes rest, pain medication, and heel cups. [1] It becomes more common with age. [1]
Achilles tendinopathy is idiopathic, meaning the cause is not well understood. Theories of causation include overuse such as running, [2] [3] a lifestyle that includes little exercise, high-heel shoes, rheumatoid arthritis, and medications of the fluoroquinolone or steroid class. [1] Diagnosis is generally based on symptoms and examination. [3]