Daily question We will work on a little more foot and ankle pathology this week

[Scott Rand]

A female cross-country runner presents early in the season complaining of heel pain.  She states the pain has been present for two weeks.  Initially the pain only occurred with long runs but now hurts most of the time.  On exam, pain is elicited by squeezing the heel.  X-rays are initially unremarkable.  Repeat x-rays obtained two weeks later however confirm the diagnosis.  Which statement about this condition is true?

 

 

A.     Surgical intervention is required

B.      Patient should be counseled that healing is expected to take 10-12 weeks

C.      Patient is a increased risk of plantar fascia rupture

D.     Patient can expect to return to activity in 4-6 weeks

E.      Patient’s body habitus is not a factor in this diagnosis

 

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Scott E Rand, MD  FAAFP CAQSM

Director, Primary Care Sports Medicine Fellowship

Co Director of Sports Medicine, Houston Methodist Orthopedics and Sports Medicine Willowbrook

Assistant Professor of Clinical Family Medicine  Houston Methodist Academic Institute

Adjunct Assistant Professor of Family and Community Medicine, Texas A&M University

Assistant Professor of Family Medicine in Clinical Medicine  Weill Cornell Medical College.

13802 Centerfield Dr  Suite 300

Houston, TX  77070