Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • heel pain (stabbing or knife-like)
  • pain relieved with rest
  • poststatic dyskinesia

Other diagnostic factors

  • pain exacerbated by walking barefoot
  • pain improved with nonsteroidal anti-inflammatory drug (NSAID) use
  • no hx of acute injury to the heel
  • self-limiting pain
  • unilateral heel pain
  • positive dorsiflexion-eversion test
  • positive Windlass test
  • negative Tinel sign

Risk factors

  • obesity
  • equinus
  • pes planus
  • pes cavus
  • age >40 years old
  • hx of prolonged standing
  • runners

Diagnostic investigations

Investigations to consider

  • technetium (Tc-MDP 3-phase) bone scan
  • MRI
  • HLA-B27
  • rheumatoid factor
Full details

Treatment algorithm

ONGOING

Contributors

Authors VIEW ALL

Martha Anderson

Podiatric Foot and Ankle Surgeon

Private Practice

Foot and Ankle Wellness Center

Podiatric Foot and Ankle Surgeon

Department of Surgery

Grady Memorial Hospital

Delaware

OH

Disclosures

MA declares that she has no competing interests.

Dr Martha Anderson would like to gratefully acknowledge Dr Georgeanne Botek, the previous contributor to this monograph. GB declares that she has no competing interests.

Peer reviewers VIEW ALL

Director

Foot and Ankle Trauma Service

Kaiser Permanente

Cleveland

OH

Disclosures

MAH declares that he has no competing interests.

Board Certified in Reconstructive Rear foot and Ankle Surgery

Department of Surgery

St. Vincent Charity Hospital

Cleveland

OH

Disclosures

MJ declares that she has no competing interests.

Program Director

Podiatric Residency

Cleveland Clinic

Cleveland

OH

Disclosures

PJM declares that he has no competing interests.

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