Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive, localized heel pain, exacerbated by weight-bearing. No history of acute trauma. Symptoms include intermittent swelling and occasional nocturnal pain. Duration of symptoms: [Insert duration]. No constitutional symptoms such as fever or weight loss.
Clinical Examination Findings
Inspection of the calcaneal region reveals mild soft tissue swelling without overlying skin changes or erythema. Palpation demonstrates localized tenderness over the calcaneus. Range of motion of the subtalar and ankle joints is preserved but may be limited by pain at extremes. Neurovascular status is intact distally.
Treatment Protocol
Recommended management includes surgical curettage with high-speed burring and adjuvant therapy (e.g., phenol, cryotherapy, or cementation with PMMA) to reduce recurrence risk. Post-operative protocol involves non-weight bearing for [Insert weeks] followed by gradual transition to full weight-bearing as tolerated. Regular radiographic surveillance is mandatory.