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Journal of the American Podiatric Medical Association, Vol 89, Issue 1 18-19, Copyright © 1999 by American Podiatric Medical Association
JOURNAL ARTICLE |
TJ Lehman
Division of Pediatric Rheumatology, Hospital for Special Surgery, New York, New York, USA.
Often, individuals who present with "isolated" heel pain but with normal laboratory findings are dismissed without diagnosis. However, if these patients are carefully questioned and examined, a significant proportion are found to have a spondyloarthropathy. The keys to making this diagnosis are obtaining a thorough medical history and performing a complete physical examination. The classic complaints of back pain and enthesitis in other areas are frequently not reported by patients unless specifically sought, because they are thought to be unrelated to the heel pain.
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