Surgical decisions in athletes' subcalcaneal pain.
A group of 182 patients with subcalcaneal pain related to sports activity was studied to determine injury types and patterns. Running/jogging produced the greatest percentage of subcalcaneal injuries, 76%. A survey was done of the specific types of heel pain, plantar fasciitis and median calcaneal neuritis. A review of each entity was given and surgical approach was detailed. Subcalcaneal surgical decision making is based on six specific tenets: correct diagnosis; approximately 12 months of conservative treatment; EMG for diagnosis and appropriate nerve blocks; thorough knowledge of the anatomy or complete review; patient understanding that surgery may not give a good enough result to allow the return to high performance athletics; and correct and appropriately directed surgery.
D001265:Athletic Injuries / Q000150:complications; D001696:Biomechanical Phenomena; D002111:Calcaneus; D003657:Decision Making; D004576:Electromyography; D006365:Heel; D006801:Humans; D009407:Nerve Block; D010146:Pain / Q000601:surgery*; D012420:Running; D013177:Sports; D013997:Time Factors