Outcomes and safety of endoscopic tarsal tunnel decompression: a systematic review.

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Abstract

[Indexed for MEDLINE] 18. Br J Hosp Med (Lond). 2019 Apr 2;80(4):196-200. doi: 10.12968/hmed.2019.80.4.196. Managing the patient with heel pain. Bhatty UN(1), Khan SH(2), Zubairy AI(3). Author information: (1)ST6 Registrar in Trauma and Orthopaedic Surgery, Department of Orthopaedics, East Lancashire Hospitals NHS Trust, Blackburn BB2 3HH. (2)Consultant Musculoskeletal Radiologist, Department of Radiology, East Lancashire Teaching Hospitals NHS Trust, Blackburn and Honorary Senior Lecturer, University of Central Lancashire, Preston. (3)Consultant Trauma and Orthopaedic Surgeon, Department of Orthopaedics, East Lancashire Hospitals NHS Trust, Blackburn. Heel pain presents frequently to primary care, commonly affecting athletic and elderly patients. Its presentation can be a common source of confusion for clinicians given the wide variety of differential diagnoses and the similarities in presenting symptoms and signs. This review classifies heel pain according to site of pain and explores the common pathologies clinicians may encounter. A brief summary of common imaging modalities used is provided. The literature is reviewed to guide evidence-based practice and to provide a framework to help clinicians investigate and manage heel pain before onward referral for specialist intervention. A linked article detailing the imaging of heel pain is included in this issue ( https://doi.org/10.12968/hmed.2019.80.4.192 ). DOI: 10.12968/hmed.2019.80.4.196