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Foot Ankle Clin. 2014 Dec;19(4):719-38. doi: 10.1016/j.fcl.2014.08.010. Epub 2014 Oct 3.

Gastrocnemius shortening and heel pain.

Author information

1
Department of Trauma and Orthopaedic Surgery, Royal Surrey County Hospital, Egerton Road, Guildford, Surrey GU2 5XX, UK; University of Surrey, Guildford, UK; Surrey Foot and Ankle Clinic, Guildford, UK; London Foot and Ankle Centre, London, UK. Electronic address: matthewsolan1@aol.com.
2
Department of Trauma and Orthopaedic Surgery, Royal Surrey County Hospital, Egerton Road, Guildford, Surrey GU2 5XX, UK.
3
London Foot and Ankle Centre, London, UK.

Abstract

Pain and reduced function caused by disorders of either the plantar fascia or the Achilles tendon are common. Although heel pain is not a major public health problem it affects millions of people each year. For most patients, time and first-line treatments allow symptoms to resolve. A proportion of patients have resistant symptoms. Managing these recalcitrant cases is a challenge. Gastrocnemius contracture produces increased strain in both the Achilles tendon and the plantar fascia. This biomechanical feature must be properly assessed otherwise treatment is compromised.

KEYWORDS:

Contracture; Gastrocnemius; Heel pain; Shortening

PMID:
25456718
DOI:
10.1016/j.fcl.2014.08.010
[Indexed for MEDLINE]

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