Orthopedics Book

Blisters

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Heel Pad Syndrome

Aka: Heel Pad Syndrome, Heel Fat Pad Syndrome, Heel Fat pad Atrophy
  1. See Also
    1. Heel Pain
  2. Differential Diagnosis
    1. Plantar Fasciitis
  3. Pathophysiology
    1. Local inflammation
    2. May also be caused by heel pad atrophy
  4. Risk Factors
    1. Obesity
    2. Advanced age
    3. Prior Corticosteroid Injection at heel (e.g. Plantar Fasciitis)
  5. Symptoms
    1. Deep Bruise-like Heel Pain at mid-heel
    2. Worse with walking barefoot or on hard surfaces
  6. Signs
    1. Palpation of mid-heel reproduces symptoms
  7. Management
    1. Rest
    2. Ice
    3. NSAIDs
    4. Athletic taping
    5. Heel cup
    6. Footwear modification

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