1. Differential Diagnosis & Treatment
Foot & Ankle
Differential Diagnosis & Treatment
Mazyad Alotaibi

2. Capsular More loss of PF OA – common post #
RA – heat, synovial thickening
Traumatic Arthritis

3. Non - capsular Loose body in joint Intermittent twinges of pain
Springy end feel
Ref to surgeon

4. Contractile

5. Achilles Tendon Epidemiology
Runners, tennis, badminton, football
More common in older athletes
More common in men

6. Aetiology Training errors -sudden increase training intensity
-changes in terrain
Biomechanical factors
Pronation
footwear
Gout

7. Achilles Tendon Disorders
Tendinosis
Bursitis
-retrocalcaneal bursa

8. History & Examination Establish Aetiology Pain Palpate
Assess biomechanical alignment
-foot
-tibia

9. Orthotics Correct/ compensate malalignments -overpronation
-high arches

10. Tendons in a sheath
Peroneii
Tibialis Posterior

11. Gastrocnemius Tear Sudden, acute onset Pain in calf
Pain on resisted PF
Pain on passive DF

12. Plantar Fasciitis
Correct biomechanics
Pain relief