1. Beginning Athletic Medicine
Foot Evaluation
Beginning Athletic Medicine

2. Tell me about your problem
History/ Mechanism
1. Chief Complaint
Tell me about your problem

3. 2. History of Present Problem
History/ Mechanism
2. History of Present Problem
a. When did you first notice the symptoms?
b. Have you had any history of this problem or other related problem areas?
c. Has anyone in your family had similar symptoms?
d. What activity were you engaged in at onset of symptoms?
e. Was there any change in activity recently? (running, diet, sleep)
f. Did you hear or feel anything at time of onset?
g. Any specific mechanism (cause) you were aware of at the time?

4. History/ Mechanism 3. Time Sequence
a. Was onset of symptoms sudden or gradual?
b. How long did symptoms last?
c. Have symptoms been constant or intermittent?
d. When do symptoms typically occur? (during activity, after?)

5. History/ Mechanism 4. Location of Symptoms
a. Point with one finger to area where symptoms most severe.
b. Is there more than one area of symptoms?

6. 5. Symptom Characteristics
History/ Mechanism
5. Symptom Characteristics
a. Characterize the pain? (dull, sharp, throbbing, burning, aching)
b. Does the pain radiate and where?
c. What relieves the pain?
d. What increases the pain?
e. How do symptoms affect your activity level?

7. 6. Participation Characteristics
History/ Mechanism
6. Participation Characteristics
a. What sport?
b. What position or event?
c. What are the frequency, duration and intensity of your practice?
d. Could equipment be related to your symptoms? If yes, what type, kind, vintage?
e. What type of playing environment?
f. What type of warm-up pattern?

8. History/ Mechanism 7. Personal Management
a. Have you attempted any treatment?
b. Have you taken any medication?
c. Have you seen anyone else for the problem? If yes, who and what was their impression?
d. Do you have any opinions of your own as to what is your problem?

9. Observe & Compare 1. Remove clothing bilaterally (use discretion)
2. Deformity
3. Bleeding
4. Scars
5. Discoloration
6. Coloration
7. Swelling
8. Compare bilaterally (compare to other side)
9. Observe body movement
Check for : Deformity
a) pronating feet
b) high/low arch (pes cavus & pes planus)
11. Check for: Shoe wear

10. Palpation
Calcaneus
Medial malleolus
3. Lateral malleolus 2 3 1

11. Palpation 4. 1st metatarsocunieform joint 5. Cunieforms a) internal
b) middle
c) external
6. Metatarsals
7. Metatarsophalangeal joints 7 7 7 6 6 6 4 a b c

12. Palpation
Cuboid
9. Styloid process 9 8

13. Palpation Metatarsal heads Transverse arch 12. Longitudinal arch 10 1011 12

14. Palpation Sustentaculum Tali Talar Head Navicular Tubercule
Plantar calcaneonavicular ligament (Spring ligament) 15 14 13

15. Palpation
Sinus Tarsi
Peroneal Tubercule 16 17

16. Palpation
Sesamoid Bones 18

17. Palpation
19. Plantar Fascia 19

18. Palpation
Achilles Tendon
Tibialis Posterior 21 20

19. Palpation
22. Tibialis Anterior 22 22

20. Palpation
Peroneal Longus
24. Peroneal Brevis 23 23 24

21. Palpation
Flexor Digitorum Longus
26. Flexor Hallucis Longus 25 26

22. Palpation
Tibial Artery -- A
Tibial Nerve -- N A N

23. Palpation Extensor Digitorum Longus 28. Extensor Hallucis Longus 27 28

24. Palpation
Calcaneal Bursa 29

25. Palpation
30. Phalanges 30

26. Range of Motion
*Should be tested in active, passive, and resistive motions and compared bilaterally.
1. Toe flexion
2. Toe extension
3. Inversion/eversion
4. Plantarflexion/dorsiflexion

27. Stress Tests 1. Stress metatarsals longitudinally 2. Toe tap (for fx)
3. Distraction test