Plantar calcaneal bursitis (Policeman’s heel)
Assumed to be due to high impact forces.
Maybe associated with atrophy of plantar fat pad
Pain on direct palpation over weightbearing area – may be able to palpate mass
Treatment:
Shock absorption
Heel cups increase shock absorption by use of own fat pad being maintained under calcaneus
Corticosteroid injection into inflamed bursa
NB: There is some doubt about the existence of a plantar calcaneal bursa , so there may be no such condition as a plantar calcaneal bursitis – but it is widely referred to in the literature as a separate entity.
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