x-ray for podiatry

Description

Case Study Case History Mrs. Brown is a 72 year old female retiree who attends your private podiatry practice. She presents to you reporting a three-week history of right sided heel pain. No traumatic event was recalled. She has recently returned from a month holiday to Europe that involved a lot of walking. The pain is relieved with rest and aggravated by activity. Mrs. Brown has osteoporosis and has a history of stress fractures in both feet. She had a pacemaker inserted two years ago to treat arrythmia. Physical Assessment Findings • Mild oedema localised to the plantar heel. • Extreme pain with squeeze of calcaneus. • Patient has an antalgic gait. To avoid placing weight upon the heel, she walks on the ball of the right foot. • All pulses are weakly palpable. • 10g monofilament is detected 10/10 bilaterally. Working Diagnosis Calcaneal stress fracture. Differential Diagnoses Plantar fasciosis, fat pad syndrome, medial calcaneal neuritis.