Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with insidious onset of posterior heel pain, exacerbated by weight-bearing activities, running, and jumping. Pain is localized to the calcaneal apophysis. No history of acute trauma. Symptoms typically improve with rest and worsen following sports participation.
Clinical Examination Findings
Physical examination reveals localized tenderness upon mediolateral compression of the calcaneal apophysis (positive squeeze test). Gait analysis may show an antalgic pattern or toe-walking to avoid heel strike. Evaluation of the Achilles tendon reveals tightness and limited ankle dorsiflexion. No erythema, edema, or warmth noted. Neurovascular status intact.
Treatment Protocol
Conservative management initiated: activity modification, application of ice packs post-activity, and use of heel cups or orthotic inserts to reduce tension on the apophysis. Prescription of a structured calf and hamstring stretching program. NSAIDs recommended for short-term pain management as needed.