Welcome to the Podiatry Arena forums, for communication between foot health professionals about podiatry and related topics.
You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members (PM), upload content, view attachments, receive a weekly email update of new discussions, earn CPD points and access many other special features. Registered users do not get displayed the advertisments in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!
If you have any problems with the registration process or your account login, please contact contact us.
12 years old boy developed pain in the right heel fat pad due to the direct pressure of the shoe heel spike, while walking on uneven surface. He has acute tenderness on the right mid heel and can not walk on heel. He is improving with ultrasound therapy, NSAID and relative rest [not using the shoes with spikes]. He has to go back for athletics at district level in a fortnight. Is my approach ok?
12 years old boy developed pain in the right heel fat pad due to the direct pressure of the shoe heel spike, while walking on uneven surface. He has acute tenderness on the right mid heel and can not walk on heel. He is improving with ultrasound therapy, NSAID and relative rest [not using the shoes with spikes]. He has to go back for athletics at district level in a fortnight. Is my approach ok?
Try icing therapy, 20 minutes 2x/day, avoiding barefoot walking and use a heel aperture pad, which may either be placed inside the shoe or taped to the heel for athletic activities if necessary. He should improve considerably in the next few weeks and will likely be asymptomatic within that time frame. By the way, what type of shoe has spikes on the heel? Sprint spikes have spikes only on the forefoot, not rearfoot.
__________________
Sincerely,
Kevin
**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College
By the way, what type of shoe has spikes on the heel? Sprint spikes have spikes only on the forefoot, not rearfoot.
Good point Kevin.
tjrrehab, I would also point out that this patient is in the age/sex/activity bracket to be a candidate for Severs Disease.
Could this be a misdiagnosed case of Severs?
Regards,
davidh
Heel pain from shoe spike pressure
Sprint spikes have spikes only on the forefoot, not rearfoot.
Linear Mode
