Simon's adventures in Podiatryland: Part 1 - Strange things
The penalty (or maybe advantage) of a long career, is that sooner or later, one comes across things one only reads about in a text book.
So, it occurred to me that it might be useful to revisit a few of these so that if, or more likely when, you do come across them, you will know what they look like, how they present, and most importantly, what to do about them!
First up was a 12 year-old girl living in Australia, but she and her family had migrated from Sri Lanka about six months previously. She had taken up netball with vigour, and over the course of a few weeks she had developed persistent unilateral heel pain consistent with Calcaneal Apophysitis. The history was unremarkable with the only outlier being general low grade fever and cold like symptoms over the past few weeks.
The patient was otherwise well, with no history of significant prior injury or illness.
There was noticeable reticence to weight bear on the affected heel as the patient walked to the examination room.
On examination the patient had pain and swelling around the lateral malleolus, but was not particularly uncomfortable over the calcaneal epiphysis or lateral / medial calcaneal facets.
So, can you spot the issues that would get our clinical radar whirling?
Director of Bartold Clinical