x-ray for podiatry

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.

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