II. Causes: Entrapment Neuropathy

  1. Consider Lumbar Radiculopathy (L4-S2)
  2. Paresthesias of plantar surface, walking and at night
    1. Tarsal Tunnel Syndrome
  3. Burning pain at heel pad
    1. Abductor digiti quinti nerve entrapment
  4. Medial and plantar Heel Pain
    1. Medial calcaneal branch of posterior tibial nerve
    2. First branch of Lateral Plantar Nerve (Baxter Nerve Entrapment)
      1. Mimics refractory Plantar Fasciitis

IV. Causes: Infectious Disease

VI. Causes: Soft Tissue Conditions

  1. Fat pad syndrome (fat pad atrophy)
  2. Plantar fascia rupture
  3. Black Dot Heel
  4. Heel Bruise
  5. Plantar Fasciitis
  6. Retroachilles Bursitis (Pump-Bump)
  7. Retrocalcaneal Bursitis
  8. Flexor Hallucis Longus Tendonitis

VII. Causes: Heel Pain by location

  1. Midfoot pain
    1. Lateral pain
      1. Peroneus longus or peroneus brevis Tendonitis
    2. Medial pain
      1. Flexor digitorum or hallucis longus Tendonitis
      2. Tibialis posterior Tendonitis
  2. Posterior plantar Foot Pain
    1. Plantar Fasciitis
    2. Plantar fascia rupture
    3. Heel pad dysfunction
      1. Heel pad atrophy: Elderly or obese patients
      2. Heel pad inflammation: Athletes
    4. Tarsal Tunnel Syndrome
    5. Baxter Nerve Entrapment
    6. Calcaneal neuroma (rare)
    7. Bone cyst
    8. Calcaneal Osteomyelitis (from contiguous Cellulitis)
    9. Calcaneal Stress Fracture
    10. Ewing's Sarcoma of Calcaneus
  3. Posterior Heel Pain
    1. Achilles Tendonitis
    2. Retroachilles Bursitis (Pump-Bump)
    3. Retrocalcaneal Bursitis

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Ontology: Heel pain (C0231780)

Concepts Sign or Symptom (T184)
SnomedCT 203124006, 2733002
Dutch pijn in hiel
French Douleur dans le talon
German Schmerz in der Ferse
Italian Dolore al tallone
Portuguese Dor do calcanhar
Spanish Dolor en talón, dolor del talón, talalgia (hallazgo), talalgia
Japanese かかと痛, カカトツウ
Czech Bolest v patě
English Pain in heel, pain in heel, talalgia, Pain;heel, heel pain, Heel pain, Talalgia, Heel pain (finding)
Hungarian Fájdalom a sarokban