Shared Flashcard Set

Details

CPGs - Heel Pain
Clinical Practice Guidelines
17
Health Care
Post-Graduate
01/14/2019

Additional Health Care Flashcards

 


 

Cards

Term
Heel Pain: Risk factors (4)
Definition
B

- limited ankle DF
- high BMI
- running
- work-related WB activities
Term
Heel Pain: Diagnostic factors (8)
Definition
B

- Plantar medial heel pain with initial steps and prolonged WB
- Recent increase in WB activity
- Pain with palpation of proximal insertion of plantar fascia
- Positive windlass test
- Negative tarsal tunnel test
- Limited ankle DF
- Abnormal FPI score
- High BMI
Term
Heel Pain: Differential Diagnosis (3)
Definition
C

spondyloarthritis
fat pad atrophy
proximal plantar fibroma
Term
Heel Pain: Outcome measures (4)
Definition
A

FAAM (foot and ankle ability measure)
FHSQ (foot health status questionnaire)
FFI (foot function index)
LEFS
Term
Heel Pain: Interventions - manual therapy
Definition
A

addressing joint mobility and calf flexibility
Term
Heel Pain: Interventions - stretching (including time frame)
Definition
A

plantar fascia-specific, gastroc/soleus
Short-term (1 week - 4 months) relief

Can be used with heel pads
Term
Heel Pain: Interventions - taping
Definition
A

Antipronation taping for immediate to 3-week pain reduction
Elastic tape to gastroc/plantar fascia for 1-week pain reduction
Term
Heel Pain: Interventions - foot orthoses
Definition
A

Pre-fab or fitted
Short- to long-term relief (2 weeks to 1 year)
Term
Heel Pain: Interventions - night splints
Definition
A

1 to 3 month program for those who consistently have pain with first step
Term
Heel Pain: Interventions - electrotherapy/ionto
Definition
D

Electrotherapy: equivocal
Iontophoresis (dexamethasone or acetic acid): short-term (2-4 weeks) pain relief
Term
Heel Pain: Interventions - Low-level laser
Definition
C

reduce pain and activity limitations
Term
Heel Pain: Interventions - Phonophoresis
Definition
C

with ketoprofen gel
Term
Heel Pain: Interventions - Ultrasound
Definition
C

not recommended
Term
Heel Pain: Interventions - Footwear (2)
Definition
C

- rocker-bottom shoe with orthosis
- shoe rotation during the work week
Term
Heel Pain: Interventions - Education and counseling
Definition
E

Exercise strategies for weight loss
Term
Heel Pain: Interventions - TherEx and NMR
Definition
F

Training for muscles that control pronation
Term
Heel Pain: Interventions - Dry Needling
Definition
F

Cannot be recommended
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