An older, overweight man complains of disabling, sharp heel pain every time
his foot strikes the ground. The pain is worse in the mornings, preventing
him from putting any weight on the heel. X-ray films show a bony spur
matching the location of his pain, and physical examination shows exquisite tenderness to direct palpation right over that heel spur. Furthermore, when
the ankle is dorsiflexed, the entire inner border of the fascia is tender to
palpation. Which of the following is the most likely diagnosis?
? A. Epiphysitis of the calcaneus
? B. Fracture of the posterolateral talar tubercle
? C. Plantar fasciitis
? D. Posterior Achilles tendon bursitis
? E. Posterior tibial nerve neuralgia
An older, overweight man complains of disabling, sharp heel pain every time
his foot strikes the ground. The pain is worse in the mornings, preventing
him from putting any weight on the heel. X-ray films show a bony spur
matching the location of his pain, and physical examination shows exquisite tenderness to direct palpation right over that heel spur. Furthermore, when
the ankle is dorsiflexed, the entire inner border of the fascia is tender to
palpation. Which of the following is the most likely diagnosis?
? A. Epiphysitis of the calcaneus
? B. Fracture of the posterolateral talar tubercle
? C. Plantar fasciitis
? D. Posterior Achilles tendon bursitis
? E. Posterior tibial nerve neuralgia
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