Simple diagnosis, simpler treatment. (cover story)

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    • Subject Terms:
      HEEL bone fractures; DIAGNOSIS; DISEASE management; PAIN; SENSES; OVERUSE injuries; WOUNDS & injuries; OSTEOCHONDROSIS; OSTEONECROSIS
    • Abstract:
      The article presents a guide for primary care physicians on the diagnosis and treatment of calcaneal apophysitis. It has been agreed that the true origin of the heel pain of calcaneal apophysitis is a stress microfracture due to chronic repetitive microtrauma. In nearly all cases, this condition is an overuse syndrome that resolves without surgery. The use of a simple in-shoe wedge-shaped orthotic can help patients experience pain relief and resume full activities. Other therapeutic approaches include physiotherapy, forced ankle dorsiflexion stretching, gastrocsoleus stretching and anti-inflammatories. INSET: Should Johnny quit the track team?.