Data gathering
- Red flags – acute onset, recent antibiotics (ciprofloxacin), numbness
- Others – heel pain, lump, worse in the mornings
- Examine – heel bony spur, stiff dorsiflexion, plantar fascia insertion NOT tender
Clinical management
- Investigations
- Explanation
- irritation of the tendon that connects calf muscle to heel bone
- often due to overuse
- Treatment
- RICE
- Orthotics
- Exercises – tip toes
- Followup / Safety-net
- Physio if not improving