Medial Heel Pain

[kaizenphysio]

Have you considered fat pad syndrome or tibial nerve entrapment? Check out David Butler as a resource for checking the tibial nerve (may be caught within or behind the tight gastroc). Also check his cycling technique, is he staying in plantar flexion throughout his downstroke? He should be starting his upstroke with his hamstrings by keeping his heel lower than his toes. A lot of people have the bad habit of keeping their toes pointed throughout their cycle stroke.

Best of luck with the differential diagnosis.

K

[madisonjones]

Pain on the centermost heel that is a lot of apparent anon aloft ascent and afterwards blow a lot of frequently indicates plantar fasciitis. Palpation of the centermost calcaneal tubercle will arm-twist pain. Squeezing the physique of the calcaneous generally indicates calcaneal accent fracture, Affliction on the after heel indicates Achilles tendonitis,bursitis.

[physiojlb]

This patient is now resolved. I believe that the residual problems were psychological. The only tenderness was on hard palpation. I taped for re assurance and he is now fine.