foot_pain
Table of Contents
the painful foot
introduction
- there are many common causes to foot pain
- emergent causes to be considered include:
- osteomyelitis - common in children as haematogenous spread, in others compound fracture is a more common cause
- septic arthritis
- acute gout
- gas gangrene
- ischaemic foot - see peripheral vascular disease (PVD or PAD)
-
- 15% of cases of necrotizing fasciitis may be due to foot ulcerations and infections associated with diabetes
- snake bite - although often minimal pain at bite site from Australian snakes
- foreign body / penetrating injury
forefoot pain
- bunion pain
- blisters, corns and calluses
- papilloma
- tinea pedis
- cellulitis
- septic arthritis
- osteomyelitis
- metatarsalgia:
- OA MTP jts from chronivc progressive clawing of 2nd-4th toes
- intermetatarsal bursitis
- Freiberg's disease - osteochondritis of a metatarsal head (usually the 2nd or 3rd) in adolescents
- sesamoiditis
- foreign body
- ingrown toenail
- Morton's neuroma
- stress fracture metatarsal
mid-foot pain
- cellulitis
- septic arthritis
- osteomyelitis
- foreign body
- chronic pronation causes:
- OA of tarsal joints
- fractures:
- stress fracture - base metatarsal,
- fracture base 5th MT / Jone's fracture, LisFrance fracture
- navicular fracture
- dorsal foot ganglion
- usually only uncomfortable but can be painful due to their size (1.5-4cm in diameter), pressure issues with shoes as well as close proximity to medial branch of the deep peroneal nerve which may result in local pain or paraesthesiae of the first interdigital cleft
hind foot pain
- cellulitis
- septic arthritis
- osteomyelitis
- foreign body
- Achilles tendonitis
- Haglund syndrome
- tibialis posterior tenosynovitis
- flexor hallucis longus tenosynovitis
- tarsal tunnel syndrome
- Sever's disease (esp. 9-12 yr olds)
- chronic pronation causes:
- rear foot subluxation and degenerative disease
- fractures
- calcaneum
- talus
foot lumps
- around the ankle region
- lipoma
- ganglion
- neuroma
- CT histiocyte reaction
- calcaneal region
- rheumatoid nodule
- schwannoma
- viral wart
- cavernous haemangioma
- calcific tendonitis
- angioleiomyoma
- dorsum of foot
- ganglion
- rarely others such as angioleiomyoma, chondroma, fibroma, inclusion cyst, lipoma, fibrous histiocytoma
- arch of foot
- plantar fibromatosis
- neuroma
- rheumatoid nodule
- cavernous haemangioma
- adventitious bursa
- toes
- ganglion
- fibroma
- keratinous horn
- mucoid cyst
- neuroma
- subungal exostosis
- epidermal cyst
- neurofibroma
- osteoid osteoma
- osteophyte
- plexiform fibrohistiocytic tumour
- tenosynovial giant cell tumour
- tophaceous gout
- intradermal naevus
- spindle lipoma
- chondroma
foot_pain.txt · Last modified: 2020/01/31 10:09 by 127.0.0.1