heel pain
Cause of Heel Pain by Anatomic Location
Pain in the midfoot
|
Lateral
|
Tendonitis of peroneus brevis
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Tendonitis of peroneus longus
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Medial
|
Tendonitis of the flexor digitorum longus
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Tendonitis of the flexor hallucis longus
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Tendonitis of the tibialis posterior
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Pain in the posterior heel
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Achilles tendonitis
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Retroachilles bursitis
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Retrocalcaneal bursitis
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Pain in the plantar aspect of heel
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Plantar fasciitis
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Plantar fascia rupture
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Heel pad atrophy
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Tarsal tunnel syndrome
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Neuroma
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Bone cyst
|
Osteomyelitis
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Fracture
|
Tumor
|
Information from Brown C. A review of subcalcaneal heel pain and plantar fasciitis. Aust Fam Physician 1996;25:881.
Common Causes of Heel Pain: History, Physical Examination Findings, and Treatment Options
| Clinical entity* | History | Physical examination | Conservative treatment |
|---|---|---|---|
Plantar fasciitis
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Morning pain or pain on standing after prolonged sitting
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Tenderness over calcaneus Increased pain with passive dorsiflexion of toes
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Analgesics, stretching, exercise, orthotics, night splint
|
Achilles tendonitis
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Pain with running, jumping, or making quick turns
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Pain and tenderness over insertion of Achilles tendon on calcaneus Pain may increase with dorsiflexion
|
Rest, analgesics, stretching, and strengthening exercises
|
Retrocalcaneal bursitis
|
Stiff posterior shoe
 edge |
Pain and tenderness at posterior calcaneus
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Analgesics, proper shoes with Achilles notch and padding over posterior heel
|
Tarsal tunnel syndrome
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Pain or numbness in heel radiating to the sole and toes
|
Reproduction of symptoms with percussion of tarsal tunnel or dorsiflexion and eversion of foot
|
Analgesics, correcting foot posture with orthotics
|
*—Listed in order of frequency of presentation.
Do you know any plantar fasciitis treatment in Singapore? Any suggestion will be a great help. Thanks.
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