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12 years old boy developed pain in the right heel fat pad due to the direct pressure of the shoe heel spike, while walking on uneven surface. He has acute tenderness on the right mid heel and can not walk on heel. He is improving with ultrasound therapy, NSAID and relative rest [not using the shoes with spikes]. He has to go back for athletics at district level in a fortnight. Is my approach ok? :eek: :eek:

 

Try icing therapy, 20 minutes 2x/day, avoiding barefoot walking and use a heel aperture pad, which may either be placed inside the shoe or taped to the heel for athletic activities if necessary. He should improve considerably in the next few weeks and will likely be asymptomatic within that time frame. By the way, what type of shoe has spikes on the heel? :confused: Sprint spikes have spikes only on the forefoot, not rearfoot.

 

Good point Kevin.
:confused:

tjrrehab, I would also point out that this patient is in the age/sex/activity bracket to be a candidate for Severs Disease.
Could this be a misdiagnosed case of Severs?
Regards,
davidh

 

Javelin spikes.

Don't fall into trap of "pain when in spikes - spike under heel - spike is cause of heel pain - ..."

Closely monitor controlled return to event specific training.

 

sorry; & highjump spikes