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Foot pain


Pain in the foot is a common presenting complaint. The majority of causes are related to injury, overuse or conditions causing inflammation.

Causes

Traumatic

  • ●

    Fractures

    • ●

      March fracture

Infective

  • ●

    Cellulitis – esp if suspected necrotising fascitis

  • ●

    Osteomyelitis

  • ●

    Pyogenic arthritis

Inflammatory

  • ●

    Rheumatoid arthritis

  • ●

    Plantar fasciitis

  • ●

    Reiter’s disease

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    Osteochondritis of the navicular bone (Köhler’s disease)

  • ●

    Osteochondritis of the metatarsal head (Freiberg’s disease)

Vascular

  • ●

    Ischaemia ( Fig. 23 ) especially if acute

    Figure 23, Foot pain due to chronic limb ischaemia with distal gangrene .

  • ●

    Ulcers

Metabolic

  • ●

    Gout/pseudogout

Degenerative

  • ●

    Osteoarthritis

  • ●

    Flatfoot

Other

  • ●

    Corns and callosities

  • ●

    Referred pain, e.g. disc lesions, neuropathies

  • ●

    Metatarsalgia

  • ●

    Morton’s metatarsalgia

  • ●

    Plantar warts

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