Heel pain is a common presentation in a sports injury practice, with a list of common differentials including achilles tendinopathy and retrocalcaneal bursitis. However, seronegative arthritis can also cause enthesopathies that produce heel pain and should be considered in a differential diagnosis list. In this case, a 50 year old recreationally active male presented with non-traumatic insidiou...

Malum perforans pedis (MPP) is a chronic trophic ulceration of the sole, resulting from chronic denervating diseases accompanied with constant trauma at the pressure bearing areas. Rarely, MPP is caused by spinal cord injury complicated by chronic osteomyelitis. A 40-year-old woman presented with a deep punched out ulceration on the left heel with an eighteen-year history of recurrent serosangu...

The cause of plantar heel pain and fasciitis has continued to be a diagnostic challenge even though it is one of the most common musculoskeletal disorders of the foot and ankle. The subject has evoked strong emotions and sparked intense debate regarding the likely causes and effective treatment options. Myofascial trigger point as a treatment option for plantar heel pain and fasciitis has been ...

Posterior heel pain occurs in young athletes involved in running and jumping. Due to the pain, the child often limits his/her physical activity level, with a possible negative effect on health and well-being. Although numerous research studies have examined the cause and treatment of heel and Achilles tendon pain in adults, there are no randomized clinical trials on treatment in children and ad...

The human heel pad is a highly specialised fibroadipose tissue that is hierarchically structured to dissipate the stress associated with weight–bearing activities. While the properties of the heel pad, as a whole, are believed to reflect those of the collagen– and elastin–rich septa which envelope adipocytes and confine their movement, the scientific literature provides little consensus on the ...

BACKGROUND Plantar heel pain can be managed with dry needling of myofascial trigger points; however, there is only poor-quality evidence supporting its use. OBJECTIVE The purpose of this study was to evaluate the effectiveness of dry needling for plantar heel pain. DESIGN The study was a parallel-group, participant-blinded, randomized controlled trial. SETTING The study was conducted in a...

Introduction: Pain in neonates is largely underestimated and neglected. Pain experience can alter clinical outcome, brain development and subsequent behavior in newborns. Numerous newborns undergo blood sampling routinely in nurseries/NICUs and these procedures are often done without pain relieving measures. Heel lancing and venepuncture are two common procedures for blood sampling in neonates....

Plantar fasciitis is the most common cause of plantar heel pain. Its characteristic features are pain and tenderness, predominately on the medial aspect of the calcaneus near the sole of the heel. Considering a complete differential diagnosis of plantar heel pain is important; a comprehensive history and physical examination guide accurate diagnosis. Many nonsurgical treatment modalities have b...