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Differential Diagnosis. The differential diagnosis for heel pain in a runner includes Achilles tendinopathy, pos-terior ankle impingement, retrocalcaneal bursitis, symptomatic Haglund’s deformity, BSI to the distal tibia, fibula, or calcaneus, peroneal tendinopathy, and hindfoot arthrosis.
Injury to the posterior tibial nerve as it courses beneath the flexor retinaculum on the medial side of the ankle is termed tarsal tunnel syndrome and may result in pain and paresthesias into the medial foot.
Medial impingement syndrome of the ankle is common in the athletic population. A marginal osteophyte on the leading edge of the medial talar facet and a corresponding “kissing” osteophyte on the tibia, in front of the medial malleolus, may abut and cause pain and limited dorsiflexion. Background:
Plantar fasciitis is the most common cause of rearfoot pain in runners. The diagnosis usually is made clinically. Patients present with gradual onset of pain in the inferior heel, which is worse in the first few steps in the morning or after rest. It also may worsen by the end of the day or after a run because of fatigue.
Medial ankle sprains commonly occur in conjunction with an ankle fracture; therefore x-rays of the ankle should be obtained whenever a medial ankle sprain is suspected. If there is tenderness over the fibula bone higher up the leg, leg x-rays should be ordered to determine if a fracture has occurred. X-rays will also help to assess the ...
13 Οκτ 2020 · The main factors for the development of MTSS in novice and recreational runners seem to be intrinsic and are commonly related to a biomechanical origin. To achieve a diagnosis, CT scan has shown to be an accurate method, detecting stress-induced bone remodeling.
19 Σεπ 2013 · A 27-year-old runner presented to our sports medicine clinic with 4 months of medial foot pain after an eversion ankle sprain. Initial radiographs were negative for fracture. Her symptoms improved ...
