Foot Pain Differential Diagnoses

From WikiMSK

Foot (rear foot) and heel pain

Foot (mid foot) pain

  • Midtarsal joint sprain
  • Tibialis posterior tendinopathy
  • Extensor tendinopathy
  • Plantar fascia strain
  • Stress fractures (navicular most common, less common cuneiform, cuboid, base second metatarsal)
  • Peroneal tendinopathy
  • Abductor hallucis strain
  • Cuboid syndrome
  • Tarsal coalition (in adolescents)
  • Kohler's disease (in young children)
  • Accessory navicular bone
  • Lisfranc joint injury (fracture or dislocation)
  • Osteoid osteoma
  • CRPS

Foot (fore foot) pain

  • Corns, calluses
  • Onychocryptosis
  • Synovitis of the MTP joints
  • First MTP joint sprain
  • Subungual haematoma
  • Hallux abducto-valgus
  • Hallux limitus
  • Morton's neuroma
  • Sesamoid pathology
  • Stress fractures (second and third most common), sesamoid
  • Fracture of the fifth metatarsal
  • Freiberg's osteochrondritis
  • Joplin's neuritis
  • Toe clawing
  • Plantar wart
  • Subungual exostosis
  • Synovitis of the metatarsal-cuneiform joint
  • Complex regional pain syndrome

Paediatric Heel Pain

Acute injuries

  • Friction blister
  • Plantar puncture wound
  • Laceration
  • Contusion
  • Calcaneal fracture
  • Achilles tendon rupture

Overuse Injuries

  • Sever Disease (Calcaneal Apophysitis)
  • Plantar fasciitis
  • Painful heel pad syndrome (heel contusion)
  • Achilles Tendinopathy
  • Retrocalcaneal bursitis
  • Posterior ankle impingement
  • Calcaneal stress fracture

Bone Conditions

  • Unicameral (simple) bone cyst
  • Bone tumour
  • Osteochondritis dissecans (posterior medial talus)

Infectious, Neurologic, and Systemic Conditions

  • Cellulitis or abscess
  • Calcaneal osteomyelitis
  • Plantar warts
  • Inflammatory enthesitis
  • Tarsal tunnel syndrome