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Heel pad syndrome is a pain that occurs in the center of the heel. [1] It is typically due to atrophy of the fat pad which makes up the heel. 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]
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]
Symptoms include the sudden onset of sharp pain in the heel. [18] A snapping sound may be heard as the tendon breaks and walking becomes difficult. [27] Rupture typically occurs as a result of a sudden bending up of the foot when the calf muscle is engaged, direct trauma, or long-standing tendonitis.
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The most common symptoms are pain and swelling around the back of the ankle. [1] The pain is typically worse at the start of exercise and decreases thereafter. [3] Stiffness of the ankle may also be present. [2] Onset is generally gradual. [1] Achilles tendinopathy is idiopathic, meaning the cause is not well understood.
Q. I am a 57-year-old recreational tennis player who has had worsening heel pain. The pain is particularly bad when I get out of bed in the morning. After I walk around and take a hot shower ...
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