Heel PainClinical Pearls of Wisdom Q&A Case
Heel pain is defined as physical discomfort on the back or the underside of the heel that may make walking uncomfortable or difficult. Heel pain can have causes that aren't due to underlying disease. Examples include poorly fitting shoes, wearing high heeled shoes, prolonged period on feet, overuse such as long walks or marathons, sprains, strains, or trauma.
Try this heel pain board review question-based case and pick up another "pearl of wisdom" from Med-Challenger.
A 48-year-old woman presents with right heel pain. She describes sharp heel pain that is bad in the morning, abates somewhat in the course of the day, and then returns by the end of the workday. It started insidiously and has progressed over the past three months. She does not recall any specific inciting injury.
She works as a picker in a warehouse and is on her feet during the workday. Her prior medical history includes hypertension, for which she takes amlodipine. Her prior surgical history is significant only for cesarean section. There is no family history of rheumatologic disorders.
On examination, her heel pain can be reproduced by firm palpation of the anteromedial heel. There is no edema, erythema or warmth.
What are the most appropriate next diagnostic / therapeutic steps for this patient with heel pain?
See the Answer:
About the Author:
About Clinical Pearl of the Month:
Med-Challenger's Clinical Pearl Blog Series is a recurring segment of Med-Challenger's popular Medical Education Blog. Med-Challenger provides online medical education products and services to physicians, nurses, and other medical specialists as well as medical training programs and healthcare groups world-wide via its web-based medical education library and world-class assessment platform at challengercme.com.
You can sign up free and start a free trial of any board review, CME course, or group application.
More from Med-ChallengerThe Leader in Online Board Review, CME Courses, and Medical Education
Did you like this?
Get more Clinical Pearl patient scenarios!
More from the Med-Challenger Blog
Thromboembolic Disease Board Review Questions, Free CME Quiz – Earn AMA and ANCC Credits FreeJune 29, 2022
Overuse Syndrome or Septic Joint? – Clinical Patient Case of the WeekJune 21, 2022
Current Special Offers
Online medical education, the best board review, and career MOC solutions for clinicians.