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Chapter 24: Foot Pain

Jason R. Cozby; Lisa Meyer; Stephen F. Reischl

Description of the Symptom

This chapter describes pathology that may lead to foot pain, including generalized, dorsal foot, forefoot and toe, hindfoot, and midfoot. Local causes of foot pain are defined as pathology that occurs within the foot, either deep to or distal to the medial and lateral malleoli of the tibia. Remote causes are defined as occurring outside this region.

Special Concerns

  • Decreased sensation

  • Diminished dorsalis pedis or tibial pulses

  • Pain that increases at night or with rest

  • Skin breakdown

  • Warmth and edema

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CHAPTER PREVIEW: Conditions That May Lead to Foot Pain
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CHAPTER PREVIEW: Conditions That May Lead to Foot Pain
T  Trauma
REMOTE LOCAL GENERALIZED LOCAL DORSAL LOCAL FOREFOOT AND TOE LOCAL HINDFOOT LOCAL MIDFOOT
COMMON

Lumbar radiculopathies:

• L5 radiculopathy 455

• S1 radiculopathy 456

Nerve entrapments:

• Tarsal tunnel syndrome 475

Bite injuries 459

Fractures:

• Metatarsal 466

Calluses 460

Corns 461

Crush injury 461

Fractures:

• Hallucal sesamoid disorders 465

• Metatarsal 466

• Toe 468

Hammer toe deformity 469

Ligament sprains:

• Forefoot 472

Metatarsalgia 473

Shoe vamp ulcer and bursitis 480

Fractures:

• Calcaneus 464

Ligament sprains:

• Anterior talofibular ligament 471

• Calcaneofibular ligament (isolated) 472

Nerve entrapments:

• Tarsal tunnel syndrome 475

Plantar fasciitis 477

Strain of the peroneal muscles 481

Longitudinal arch strain 472

Plantar fasciitis 477

Positional faults:

• Calcaneocuboid joint 477

• Talonavicular joint 478
UNCOMMON

Lumbar radiculopathies:

• L4 radiculopathy 455

Bite injuries 459

Cold injuries 460

Crush injury 461

Nerve entrapments:

• Deep peroneal nerve 475

• Superficial peroneal nerve 475

• Sural nerve 475

Fractures:

• Osteochondral fracture of the subtalar joint 466

Ligament sprains:

• Cruciate crural ligament 472

Nerve entrapments:

• Deep peroneal nerve 475

• Superficial peroneal nerve 475

Dislocations:

• Interphalangeal joint 462

Ligament sprains:

• Metatarsophalangeal joint 472

Mallet toe deformity 473

Morton's neuroma 474

Calcaneal apophysitis (Sever's disease) 459

Fat pad syndrome 464

Fractures:

• Lateral process of the talus 465

• Lateral tubercle of the posterior process of the talus 465

• Medial process of the sustentaculum tali of the calcaneus 465

• Medial tuberosity of the posterior process of the talus 466

• Osteochondral fracture of the talar dome 466

• Posterosuperior calcaneal tuberosity 467

• Stress fracture of the calcaneus 467

• Stress fracture of the lateral malleolus 467

Nerve entrapments:

• First branch of the lateral plantar nerve 475

• Sural nerve 475

Ruptures:

• Achilles tendon 480

• Plantar fascia 480

Fractures:

• Fifth metatarsal 464

• Navicular 466

Interosseous myositis 470
RARE
Not applicable Not applicable Not applicable

Dislocations:

• Metatarsophalangeal joint 462

Joplin's neuroma 471

Nerve entrapments:

• Calcaneal branch neurodynia 474

Fractures:

• Osteochondral fracture of the subtalar joint 466

• Tarsometatarsal joint (Lisfranc's) fracture or dislocation 467
I  Inflammation
REMOTE LOCAL GENERALIZED LOCAL DORSAL LOCAL FOREFOOT AND TOE LOCAL HINDFOOT LOCAL ...

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