Foot & AnkleDifferential Diagnosis & Treatment

Mazyad Alotaibi

Capsular

More loss of PF OA – common post #

RA – heat, synovial thickening

Traumatic Arthritis

Non - capsular

Loose body in joint Intermittent twinges of pain Springy end feel

Ref to surgeon

Contractile

Achilles TendonEpidemiology Runners, tennis,

badminton, football

More common in older athletes

More common in men

Aetiology

Training errors

-sudden increase training intensity

-changes in terrain Biomechanical factors- Pronation- footwear Gout

Achilles Tendon Disorders

Tendinosis Bursitis

-retrocalcaneal bursa

History & Examination

Establish Aetiology Pain Palpate Assess biomechanical alignment

-foot

-tibia

Orthotics

Correct/ compensate malalignments

-overpronation -high arches

Tendons in a sheath

Peroneii

Tibialis Posterior

Gastrocnemius Tear

Sudden, acute onset Pain in calf Pain on resisted PF Pain on passive DF

Plantar Fasciitis

Correct biomechanics

Pain relief