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Tendinitis of the heel
Symptoms include pain in the heel and along the tendon when walking or running. The area may feel painful and stiff in the morning.
The tendon may be painful to touch or move. The skin over the tendon may be swollen and warm. You may have trouble standing up on one toe.
The doctor will perform a physical exam. The doctor will look for tenderness along the tendon and pain in the area of the tendon when you stand on your toes.
X-rays can help diagnose arthritis.
An MRI scan may be done if your doctor is thinking about surgery or is worried about the tear in the Achilles tendon.
Gollwitzer H, Diehl P, von Korff A, Rahlfs VW, Gerdesmeyer L. Extracorporeal shock wave therapy for chronic painful heel syndrome: a prospective, double blind, randomized trial assessing the efficacy of a new electromagnetic shock wave device. J Foot Ankle Surg. 2007;46:348-357.
Baer GS, Keene JS. Tendon injuries of the foot and ankle. In: DeLee JC, Drez D Jr., Miller MD, eds. DeLee and Drez's Orthopaedic Sports Medicine. 3rd ed. Philadelphia, Pa: Saunders Elsevier;2009:section D.
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