SPECIFIC SYMPTOMS OF THE REARFOOT

Question 1

▪ Mechanically derived from either pronated or cavus foot

• Medial band of plantar fascia is pulled excessively
• Insidious onset with post static dyskinesia
• May or may not see spur formation
• Periosteum contains osteoblasts that are activated by the disruption of the aponeurosis being pulled away
• Actually bone spurs don’t always form though

▪ Chronic trauma to abductor hallucis at its origin can cause the muscle to begin calcifying too

Answer 1

Heel Spur Syndrome

Question 2

name this typer of arch pain

• Inflammation of plantar fascia → most commonly the medial band
• Check for pain on palpation of medial band with hallux dorsiflexed
• Causes are the same as heel spur syndrome

Answer 2

Plantar fasciitis

Question 3

name this type of arch pain

• May be mistaken for HSS or plantar fasciitis
• Patient will experience pain on ambulation as abductor hallucis functions
• Patient will have pain when palpating abductor hallucis muscle belly

Answer 3

Abductor hallucis strain