Chronic Heel And Arch Pain In Collegiate Dancer - Page #1

Author: Kartik Sidhar, MD
Co Author #1: Sourav Poddar, MD
Senior Editor: Christian Fulmer, DO
Editor: Ryan Lurtsema, MD

Patient Presentation:
Right heel pain

A 22-year-old female collegiate dancer presented for evaluation of chronic right medial heel pain without prior injury. Symptoms were first noted 9 months prior to presentation and were described as a sharp pain at the medial aspect of the heel, just below the medial malleolus. The pain radiates to the mid-plantar region of the heel. The patient further described the pain as a burning sensation within this distribution and was worsened with weight bearing.

Physical Exam:
Right Foot/Ankle:
Inspection: No erythema, ecchymosis, or swelling noted
Palpation: Tenderness to palpation noted approximately 2cm below the medial malleolus over the soft tissue; mild tenderness to palpation over the medial origin of the plantar fascia. No other bony or soft tissue tenderness appreciated.
Ankle Range of Motion: Within normal limits in all planes
Ankle Strength: 5/5 strength in all planes
Special Tests: Syndesmotic squeeze test negative

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