Plantar and Medial Heel Pain: Diagnosis and Management
Heel pain is commonly encountered in orthopaedic practice. Establishing an accurate diagnosis is critical, but it can be challenging due to the complex regional anatomy. Subacute and chronic plantar and medial heel pain are most frequently the result of repetitive microtrauma or compression of neuro...
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| Veröffentlicht in: | Journal of the American Academy of Orthopaedic Surgeons 2014-06, Vol.22 (6), p.372-380 |
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| container_title | Journal of the American Academy of Orthopaedic Surgeons |
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| creator | Lareau, Craig R Sawyer, Gregory A Wang, Joanne H DiGiovanni, Christopher W |
| description | Heel pain is commonly encountered in orthopaedic practice. Establishing an accurate diagnosis is critical, but it can be challenging due to the complex regional anatomy. Subacute and chronic plantar and medial heel pain are most frequently the result of repetitive microtrauma or compression of neurologic structures, such as plantar fasciitis, heel pad atrophy, Baxter nerve entrapment, calcaneal stress fracture, and tarsal tunnel syndrome. Most causes of inferior heel pain can be successfully managed nonsurgically. Surgical intervention is reserved for patients who do not respond to nonsurgical measures. Although corticosteroid injections have a role in the management of select diagnoses, they should be used with caution. |
| doi_str_mv | 10.5435/JAAOS-22-06-372 |
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Establishing an accurate diagnosis is critical, but it can be challenging due to the complex regional anatomy. Subacute and chronic plantar and medial heel pain are most frequently the result of repetitive microtrauma or compression of neurologic structures, such as plantar fasciitis, heel pad atrophy, Baxter nerve entrapment, calcaneal stress fracture, and tarsal tunnel syndrome. Most causes of inferior heel pain can be successfully managed nonsurgically. Surgical intervention is reserved for patients who do not respond to nonsurgical measures. Although corticosteroid injections have a role in the management of select diagnoses, they should be used with caution.</description><identifier>ISSN: 1067-151X</identifier><identifier>EISSN: 1940-5480</identifier><identifier>DOI: 10.5435/JAAOS-22-06-372</identifier><identifier>PMID: 24860133</identifier><language>eng</language><publisher>United States: by Lippincott Williams & Wilkins, Inc</publisher><subject>Care and treatment ; Diagnosis ; Diagnosis, Differential ; Diagnostic Imaging ; Fasciitis, Plantar - diagnosis ; Fasciitis, Plantar - therapy ; Foot diseases ; Foot Diseases - diagnosis ; Foot Diseases - therapy ; Fractures, Stress - diagnosis ; Fractures, Stress - therapy ; Health aspects ; Heel ; Heel bone ; Humans ; Nerve Compression Syndromes - diagnosis ; Nerve Compression Syndromes - therapy ; Pain ; Tarsal Tunnel Syndrome - diagnosis ; Tarsal Tunnel Syndrome - therapy</subject><ispartof>Journal of the American Academy of Orthopaedic Surgeons, 2014-06, Vol.22 (6), p.372-380</ispartof><rights>2014 by Lippincott Williams & Wilkins, Inc.</rights><rights>Copyright 2014 by the American Academy of Orthopaedic Surgeons.</rights><rights>COPYRIGHT 2014 American Academy of Orthopaedic Surgeons</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4095-8326b221051f05333ea11c93f668d4fc76cdcd31a1a6a0e6c19c648634ff1e613</citedby><cites>FETCH-LOGICAL-c4095-8326b221051f05333ea11c93f668d4fc76cdcd31a1a6a0e6c19c648634ff1e613</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27915,27916</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24860133$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lareau, Craig R</creatorcontrib><creatorcontrib>Sawyer, Gregory A</creatorcontrib><creatorcontrib>Wang, Joanne H</creatorcontrib><creatorcontrib>DiGiovanni, Christopher W</creatorcontrib><title>Plantar and Medial Heel Pain: Diagnosis and Management</title><title>Journal of the American Academy of Orthopaedic Surgeons</title><addtitle>J Am Acad Orthop Surg</addtitle><description>Heel pain is commonly encountered in orthopaedic practice. Establishing an accurate diagnosis is critical, but it can be challenging due to the complex regional anatomy. Subacute and chronic plantar and medial heel pain are most frequently the result of repetitive microtrauma or compression of neurologic structures, such as plantar fasciitis, heel pad atrophy, Baxter nerve entrapment, calcaneal stress fracture, and tarsal tunnel syndrome. Most causes of inferior heel pain can be successfully managed nonsurgically. Surgical intervention is reserved for patients who do not respond to nonsurgical measures. Although corticosteroid injections have a role in the management of select diagnoses, they should be used with caution.</description><subject>Care and treatment</subject><subject>Diagnosis</subject><subject>Diagnosis, Differential</subject><subject>Diagnostic Imaging</subject><subject>Fasciitis, Plantar - diagnosis</subject><subject>Fasciitis, Plantar - therapy</subject><subject>Foot diseases</subject><subject>Foot Diseases - diagnosis</subject><subject>Foot Diseases - therapy</subject><subject>Fractures, Stress - diagnosis</subject><subject>Fractures, Stress - therapy</subject><subject>Health aspects</subject><subject>Heel</subject><subject>Heel bone</subject><subject>Humans</subject><subject>Nerve Compression Syndromes - diagnosis</subject><subject>Nerve Compression Syndromes - therapy</subject><subject>Pain</subject><subject>Tarsal Tunnel Syndrome - diagnosis</subject><subject>Tarsal Tunnel Syndrome - therapy</subject><issn>1067-151X</issn><issn>1940-5480</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkd1rFTEQxYMotlaffZMFX3xJO5OP2V3fLrVapdKCCr6FNDt7G83utpu9lP73pm4VBAlDQuZ3hsMcIV4iHFqj7dGnzeb8i1RKAkldq0diH1sD0poGHpc3UC3R4vc98SznHwBIhtqnYk-ZhgC13hd0kfy4-LnyY1d95i76VJ0yp-rCx_Ft9S767TjlmNe-H_2WBx6X5-JJ71PmFw_3gfj2_uTr8ak8O__w8XhzJoOB1spGK7pUCsFiD1ZrzR4xtLonajrTh5pCFzqNHj15YArYBiretOl7ZEJ9IN6sc6_n6WbHeXFDzIFTMc3TLju0hhTWumkK-npFtz6xi2M_LbMP97jb6LpB0KCoUIf_ocrpeIhhGrmP5f8fwdEqCPOU88y9u57j4Oc7h-DuM3C_M3BKOSBXMiiKVw-ed5cDd3_5P0svgFmB2yktPOefaXfLs7tin5YrV1JShrSVCtAAAYAsVbb3Cx3GjRA</recordid><startdate>201406</startdate><enddate>201406</enddate><creator>Lareau, Craig R</creator><creator>Sawyer, Gregory A</creator><creator>Wang, Joanne H</creator><creator>DiGiovanni, Christopher W</creator><general>by Lippincott Williams & Wilkins, Inc</general><general>American Academy of Orthopaedic Surgeons</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201406</creationdate><title>Plantar and Medial Heel Pain: Diagnosis and Management</title><author>Lareau, Craig R ; Sawyer, Gregory A ; Wang, Joanne H ; DiGiovanni, Christopher W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4095-8326b221051f05333ea11c93f668d4fc76cdcd31a1a6a0e6c19c648634ff1e613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Care and treatment</topic><topic>Diagnosis</topic><topic>Diagnosis, Differential</topic><topic>Diagnostic Imaging</topic><topic>Fasciitis, Plantar - diagnosis</topic><topic>Fasciitis, Plantar - therapy</topic><topic>Foot diseases</topic><topic>Foot Diseases - diagnosis</topic><topic>Foot Diseases - therapy</topic><topic>Fractures, Stress - diagnosis</topic><topic>Fractures, Stress - therapy</topic><topic>Health aspects</topic><topic>Heel</topic><topic>Heel bone</topic><topic>Humans</topic><topic>Nerve Compression Syndromes - diagnosis</topic><topic>Nerve Compression Syndromes - therapy</topic><topic>Pain</topic><topic>Tarsal Tunnel Syndrome - diagnosis</topic><topic>Tarsal Tunnel Syndrome - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lareau, Craig R</creatorcontrib><creatorcontrib>Sawyer, Gregory A</creatorcontrib><creatorcontrib>Wang, Joanne H</creatorcontrib><creatorcontrib>DiGiovanni, Christopher W</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Academy of Orthopaedic Surgeons</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lareau, Craig R</au><au>Sawyer, Gregory A</au><au>Wang, Joanne H</au><au>DiGiovanni, Christopher W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Plantar and Medial Heel Pain: Diagnosis and Management</atitle><jtitle>Journal of the American Academy of Orthopaedic Surgeons</jtitle><addtitle>J Am Acad Orthop Surg</addtitle><date>2014-06</date><risdate>2014</risdate><volume>22</volume><issue>6</issue><spage>372</spage><epage>380</epage><pages>372-380</pages><issn>1067-151X</issn><eissn>1940-5480</eissn><abstract>Heel pain is commonly encountered in orthopaedic practice. Establishing an accurate diagnosis is critical, but it can be challenging due to the complex regional anatomy. Subacute and chronic plantar and medial heel pain are most frequently the result of repetitive microtrauma or compression of neurologic structures, such as plantar fasciitis, heel pad atrophy, Baxter nerve entrapment, calcaneal stress fracture, and tarsal tunnel syndrome. Most causes of inferior heel pain can be successfully managed nonsurgically. Surgical intervention is reserved for patients who do not respond to nonsurgical measures. Although corticosteroid injections have a role in the management of select diagnoses, they should be used with caution.</abstract><cop>United States</cop><pub>by Lippincott Williams & Wilkins, Inc</pub><pmid>24860133</pmid><doi>10.5435/JAAOS-22-06-372</doi><tpages>9</tpages></addata></record> |
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| ispartof | Journal of the American Academy of Orthopaedic Surgeons, 2014-06, Vol.22 (6), p.372-380 |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Care and treatment Diagnosis Diagnosis, Differential Diagnostic Imaging Fasciitis, Plantar - diagnosis Fasciitis, Plantar - therapy Foot diseases Foot Diseases - diagnosis Foot Diseases - therapy Fractures, Stress - diagnosis Fractures, Stress - therapy Health aspects Heel Heel bone Humans Nerve Compression Syndromes - diagnosis Nerve Compression Syndromes - therapy Pain Tarsal Tunnel Syndrome - diagnosis Tarsal Tunnel Syndrome - therapy |
| title | Plantar and Medial Heel Pain: Diagnosis and Management |
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