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Foot & Heel Pain

Children:
Severs disease (apophysitis) usually male aged about 10 years with increased density and fragmentation of the calcaneal apophysis
Raise heel and avoid strenuous activities, severe cases may require POP
Adolescents:
Calcaneal knobs (often bilateral) usually female 15 - 20 years

Young Adults:
Retrocalcaneal Bursitis (w/ Haglund's lump) above the Achilles tendon insertion or plantar fasciitis (enthesopathies)
Older Adults:
  1. Plantar fasciitis
  2. Pagets may affect the calcaneum resulting in a chronic ache 
  3. Chronic bone infection (Brodies abscess with sclerotic margin)
  4. Diabetes
  5. Entrapment of medial calcaneal branch of posterior tibial nerve
  6. Tarsal Tunnel Syndrome

Plantar Fasciitis:

Pain at the attachment of the plantar fascia to the medial tubercle of the calcaneus. Treat with NSAIDs and orthosis, rarely needing release of plantar fascia.

Painful

Kohlers disease
(osteochondritis of the navicular) usually children less than 5 years old present with a painful limp and tender warm swelling over the navicular
Rest and strap for a few weeks results in relief and eventually ® normal looking navicular
Brailsfords disease similar to Kohlers but older women affected
The "overbone"
In adults with high arches, ridge of bone on dorsal surfaces of the med cunieform and 1st metatarsal- adjust shoes, bevel lump


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Accessory Bones
Adult Hallux Valgus
Amputations of the Foot & Ankle
Anatomy of the Foot & Ankle
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Arthritis in Children
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Bibliography
Biomechanics of the Foot & Ankle
BOFSS Syllabus for FRCS (Tr & Orth)
Bunionettes
Calcaneal Fractures
Compartment Syndrome
Diabetic Foot
Foot & Ankle Hyperbook
Foot & Heel Pain
Freiberg's disease
Hallux Rigidus
Hyperkeratotic Pathology of the Pla...
Lesser Toe Deformities
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tendo achilles references
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