Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, progressive heel pain localized to the calcaneus, unresponsive to conservative NSAID therapy. Pain is described as dull, aching, and nocturnal in nature. No history of acute trauma. Symptoms have persisted for [Duration], with no significant improvement despite activity modification.
Clinical Examination Findings
Physical examination reveals localized tenderness upon palpation of the calcaneus. Mild soft tissue swelling noted; no erythema or warmth. Range of motion of the subtalar and ankle joints is preserved but may elicit discomfort at the extremes. Neurovascular status is intact distally. Gait analysis demonstrates an antalgic component favoring the lateral aspect of the foot.
Treatment Protocol
Recommended management includes surgical excision and curettage of the calcaneal lesion. Bone grafting may be required depending on the size of the defect post-curettage. Pre-operative imaging (MRI/CT) is essential for surgical planning. Post-operative protocol involves non-weight bearing status for [Number] weeks followed by physical therapy for functional rehabilitation.