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martedì 28 maggio 2019

TOP 5 COMMON CAUSES—AND CONTROVERSIAL CONDUCTS—OF HEEL PAIN IN URGENT CARE

Urgent message: Nontraumatic heel pain is a common presenting complaint in urgent care. Knowing how to accurately diagnose and develop a treatment plan is important, as the course is typically prolonged.
Katty Grand-Pierre, MD, CMSS, Frank Ida, BS, EMT-B, and Vincent D’Amore, MD, FACEP
INTRODUCTION

The heel can absorb 110% of body weight while a person is walking and 200% of body weight during running.1 While the most common cause is plantar fasciitis (PF), accounting for approximately 2 million office-based visits a year,the causes and treatments are often confusing. It’s a frustrating fact, for both patient and clinician, that there is no gold standard for treatment and the benefits of common treatments are questionable.
In assessing patients who present with heel pain, the urgent care provider must consider causes beyond PF. In this article, we present the “top 5” most likely culprits:
  1. Plantar fasciitis
  2. Achilles tendinopathy and bursitis
  3. Sever’s disease
  4. Tarsal tunnel syndrome
  5. Peroneal tendon pathology

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