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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]
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.
Sinus tarsi syndrome is the clinical disorder of pain and tenderness in the sinus tarsi, which is a lateral tunnel in the foot at the junction of the hindfoot and the midfoot, between the ankle and the heel. [1] [2] Most of the time, sinus tarsi syndrome onsets after ankle sprains, however there can be other causes. [3]
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.
Treatment and the potential outcome of the treatment may depend on the cause. Anything that creates pressure in the tarsal tunnel can cause TTS. This would include benign tumors or cysts, bone spurs, inflammation of the tendon sheath, nerve ganglions, or swelling from a broken or sprained ankle.
Strong muscles in the calves and lower legs will help take the stress off the bone and prevent heel spurs. Icing the area is an effective way to get immediate pain relief. There are several means to get pain relief from plantar heel pain. [8] Plantar heel pain can be a precursor to many pathologies of the foot. [9]
Calcaneal spur (heel spur) is a small calcified bone extension located on the inferior aspect of the calcaneus or on the back of the heel at the insertion of the Achilles tendon. The condition is typically a response to plantar fasciitis over a period of time. It may also be related to ankylosing spondylitis, typically in children.
Piezogenic papules on the heel of an individual with Ehlers–Danlos syndrome. Specialty: Dermatology: Symptoms: Multiple yellowish to skin-coloured small or large bumps, mostly painless; typically on heels and wrist [2] [3] Causes: Pressure [2] Risk factors: Obesity, flat feet, athletes, figure skaters, long-distance runners [3] Diagnostic ...
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