HI all,
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probably a basic question for a lot, but i would love some input on how to manage posterior calcaneal exostoses. I have seen quite a few in practice, where the posterior heel is quite sore and been seen by other professionals as an achilles tendinopathy, and treated as such. However rasies/stretches etc etc have made no improvement. On presenting to me and with this history, i find pain at the posterior calc (often slightly medial) where an obvious lump is. Not in the achilles. Radiographs generally disclose the same calcific deposits showing an exostosis.
I don't think orthoses are of any relevance here, and often they have already tried conservative management with no success.
From a surgical point of view, what are the options/procedures? How successfull is thi surgery? How long is the rehab (obviously variable....but ballpark)?
Cheers Dawesy.
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