Case history

Case history

A 52-year-old overweight woman presents with inferior heel pain of 2 months' duration. The pain is described as sore and achy and occurs when taking the first few steps in the morning and when rising from a sitting position. It is worse with barefoot walking and is better with non-steroidal anti-inflammatory drug use. No prior injury to the heel is elicited.

Other presentations

Occasionally, patients will complain of a stabbing, knife-like pain or pain that radiates to the lateral heel. Pain radiating proximally to the leg may be due to an associated nerve entrapment or neuritis. Plantar medial arch pain, distal to the insertion in the calcaneus, may also occur. Patients may complain of pain that is aggravated by activity and relieved with rest. The patient may have had a recent increase in weight-bearing activity.

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