Right Percutaneous Fasciotomy And Osteotomy For Plantar Fasciosis And Fractured Enthesophyte Nonunion - Page #1
 

Author: Robert Gousse, MD
Co Author #1: Robert Patrick Gousse, MD
Co Author #2: Nahum Michael Beard, MD
Co Author #3: John C. Hyden, MD
Editor: Blake Corcoran, MD

Patient Presentation:
49 year old female presenting with several months of right sided heel pain which had become worse over the past few weeks after stepping off a curb. She tried massage and stretching without improvement in pain. She is now limping because of the pain.

History:
PMHx: None
PSHx: None
Meds: None
Allergies: NKDA
Social Hx: Works in an office, No toxic habits

Physical Exam:
Tenderness over the right plantar fascia.
Mild tenderness over the medial calcaneal nerve.
No pain over Baxter's nerve.
Negative Tenel's over Baxter's nerve.
Great heel cord flexibility.
Neurovascularly intectact.
Nontender over the rest of her foot and ankle
No overlying skin changes

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