Rehabilitation of the injury
You should make sure to exercise the rest of the body, so you do not lose your current mobility, stability, and strength. Figure out what kind of training you can do and work out according to the level you can work at. Exercising the rest of the body accelerates healing of your injury, among other things, since training increases nerve activity and circulation.
Description of calcaneodynia
The condition is caused my microtrauma in tissues of the arch (aponeurosis plantaris) and are located on the back end of these tissues on the attachment of the heel bone (calcaneus), hence the name. The cause of pain is an overload of the aponeurosis tendon occurring most commonly in people who walk a lot (soldiers, mailmen, nurses, etc.), people who suffer from being overweight, and athletes with hyper-pronation. This is a “sister” injury to plantar fasciitis, which is located at the front of the arch tendons insertion. When the toes are bent, as for example when initiating gait, the aponeurosis plantaris is tensed and the longitudinal arch is stabilized. In some cases where the set-off from the ground is forceful, ruptures at the insertion site of the plantaris aponeurosis at the back (on the heel bone) can occur.
Symptoms of calcaneodynia
- Pain in the front of the calcaneus (heel), at the origin of the plantar aponeurosis.
- Worsening condition when overloaded.
- Morning stiffness and limp.
- Heavy pain when walking on toes, or attempting to do so.
- Swelling and signs of inflammation in the area.
Examination
- Analysis / inspection / palpation / ROM.
- Walking on heel and toes.
- Initiating gait
- Passive stretch of aponeurosis plantaris.
Misdiagnosis / differential diagnosis
- Tarsal tunnel syndrome. (nerve clamping in the tarsal tunnel).
- Bursitis tuber calcanei. (irritated tissue and fatty pad under the heel).
- Damage or atrophy (decrease) of the heel’s cushion.
- plantar fasciitis.
Treatment of calcaneodynia
The injury should be treated optimally from the start, as the condition may otherwise worsen and develop into chronic problems.
- Active rest (movement as normal to the pain limit, but not over!).
- Sports taping.
- Shoe inserts / insoles.
- Running shoes correction, if necessary new shoes.
- Ultrasound (continuous / pulsating), 3 Mhz, 0.5-1 W cm2.
- NSAID gel or Traumeel cream.
- Kinesiology tape.
- K-Laser.
- Traumeel pills (2 tablespoons 3 g. a day for 9 days).
Your doctor may give anti-inflammatory medicine and possibly operate if there is a rupture (tearing) of the aponeurosis (foot arch tendon).
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