(2) A painful red lump that has developed over the tendon when the
inflamed bursa gets bigger. There should be no pain until the bump becomes inflamed.
(3)
Swelling which extends on both sides of the tendon.
b. Treatment of Haglun's Deformity. Treat as follows:
(1) Apply warm heat (a wet face towel, for example) to ease pain. Do this
several times a day.
(2) Be careful when you buy shoes. Heel pads can be placed in a shoe to lift
the individual's heel up higher in the shoe. Shoes that have soft edges are more
comfortable. A shoe with a hard edge will very often be very uncomfortable.
2-8.
RETROCALCANEAL SPACE PAIN
This pain occurs in the heel and is caused by a fracture of the posterior lateral
tubercle of the talus. The result is injury to the plantar flexion. Those who walk on their
toes have developed elongated talar tubercles and are most apt to experience this type
of injury.
a. Signs/Symptoms of Retrocalcaneal Space Pain. Included are the
following:
(1) Swelling behind the ankle at the retrocalcaneal space between the
Achilles tendon and the calcaneus.
(2)
Pain that increases on dorsiflexion (turning the foot and toes upward).
b. Treatment for Retrocalcaneal Space Pain. First, have lateral X-rays of the
ankle taken to aid in diagnosis. Then, immobilize the foot in a plaster cast for four to six
weeks. Corticosteroids and anesthetic combinations may be given for pain. Use
surgical excision if conservative therapy is not effective.
Section III. METATARSALGIA DISORDERS
2-9.
INTRODUCTION
The word metatarsalgia is a general term used to describe pain over the
metatarsus (the ball of the foot). Metatarsalgia foot disorders are problems associated
with pain over the ball of the foot. Examples of such disorders include Morton's
syndrome and variations of Morton's neuroma.
MD0577
2-8