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a patient , 34 years working as pt master in school having posterior heel pain for 6 months duration.pain increasing after prolonged standing. clincally no tenderness over the medial calcaneal region.my clincal diagnosis posterior heel pad cushining due to pressure. pt has not satisfied with analgesics, physical heat therapy.
planning for posterior heel cushioning with silicon.
please suggesst how to aproach these kind of problems.
__________________
Craig Payne
Department of Podiatry
La Trobe University
Melbourne, Australia http://www.latrobe.edu.au/podiatry
__________________________________________________ ___________________________________ God put me on this earth to accomplish a certain number of things - right now I am so far behind, I will never die.
The views expressed above are those of the author and not that of La Trobe University This is where I am, where are you?
I reckon it's referral from soleus trigger point.
Go to this wonderful site to see how to assess it.
If you are not familiar with trigger point therapy maybe you know of someone to refer to?
Hope this helps a bit.
Cheers
Mahtay
dear dr. Craig Payne
it is diffuse pain over the heel cushion area(plantar) , only subjective.
clinically no tenderness. and no other findings
any other diferntial diagnosis
I would go with mahtay - first guess would be a trigger point.
__________________
Craig Payne
Department of Podiatry
La Trobe University
Melbourne, Australia http://www.latrobe.edu.au/podiatry
__________________________________________________ ___________________________________ God put me on this earth to accomplish a certain number of things - right now I am so far behind, I will never die.
The views expressed above are those of the author and not that of La Trobe University This is where I am, where are you?
Dear Suresh,
If it is plantarly painful, palpate a little anterior to the heel and you may find the Quadratus Plantae muscle bellies triggering.
But also Flexor Digitorum Longus, Abductor Hallucis and a few others around may be contributing, even in a minor synergistic/antagonistic manner.
Hope this helps
Mahtay
Posteror heel pain
Linear Mode
