EVALUATION AND TREATMENT OF HEAL PAIN

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AKHAVAN KARBASI M.H.; SAIED BANADAKI S.H.

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Journal: Journal of Shahid Sadoughi University of Medical Sciences Year:2001 | Volume:9 | Issue:2 Page(s): 9-14

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Information Journal Paper

Title

EVALUATION AND TREATMENT OF HEAL PAIN

Author(s)

AKHAVAN KARBASI M.H. | SAIED BANADAKI S.H. | Issue Writer Certificate

Keywords

HEEL PAIN - SPUR - TINEL SIGN - TREATMENTQ3

Abstract

Heel pain with obscure etiology, chronic status and resultant gait compromise could be a challenging matter of treatment. To clarify its charactristic and suggestion of therapeutic strategy, we studied the patients admitted to the orthopedic clinic for 2 years from 1998-2000. In this outcome study, the patients history, physical examination, appropriate lab tests and ankle and calcaneus radiographies were taken. 58 patients (65 heels) with mean age of 42±1.3 (28-65 years) included in this study. There were 7 bilateral cases. There were also 48 females (83%) and 10 males (17%). The right and left feet were about equally involved with right in 25 and left in 26 cases). Tinel"s sign that is a guide to neurologic etiology for heel pain was positive in three cases and in one of them conservative treatment failed. Phalen test and nerve compression test were not positive in any of the cases. In one patient, maximum tenderness was in zone II Baxter, which did not respond to conservative treatment. X-ray was taken in 49 heels and calcaneal spur was observed in 46% of the painful heel and 36% of asymptomatic ones. There was not statistical correlation between heel pain and spur . After follow up of 14.5 month conservative treatment was successful in 55 cases (95%) and failed in 3 cases (5%). Two of the individuals underwent surgery, one case by Baxter modified technique (with release of medial calcaneal nerve) was fully asymptomatic in follow up, and the other one, a 50 years old women, by DuVries technique. Conservative treatment will be cornerstone in management of patients with painful heels, and Baxter modified technique with release of medialcalcaneal branches is highly suggestive in resistant cases. However, stuctural bone disease, skin lesions, systemic metabolic, and artheritis should be ruled out before surgical intervention.

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APA: Copy

AKHAVAN KARBASI, M.H., & SAIED BANADAKI, S.H.. (2001). EVALUATION AND TREATMENT OF HEAL PAIN. JOURNAL OF SHAHID SADOUGHI UNIVERSITY OF MEDICAL SCIENCES, 9(2), 9-14. SID. https://sid.ir/paper/36665/en

Vancouver: Copy

AKHAVAN KARBASI M.H., SAIED BANADAKI S.H.. EVALUATION AND TREATMENT OF HEAL PAIN. JOURNAL OF SHAHID SADOUGHI UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2001;9(2):9-14. Available from: https://sid.ir/paper/36665/en

IEEE: Copy

M.H. AKHAVAN KARBASI, and S.H. SAIED BANADAKI, “EVALUATION AND TREATMENT OF HEAL PAIN,” JOURNAL OF SHAHID SADOUGHI UNIVERSITY OF MEDICAL SCIENCES, vol. 9, no. 2, pp. 9–14, 2001, [Online]. Available: https://sid.ir/paper/36665/en

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