Can Haglund’s Syndrome Be Misdiagnosed as Low Back Pain? Findings from a Case Report in Physical Therapy Direct Access
| Autor: | Giacomo Rossettini, Marco Testa, Mattia Bisconti, Fabrizio Brindisino, Filippo Maselli, Lorenzo Storari, Firas Mourad, Mattia Salomon, Valerio Barbari |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Referral referral and consultation Leadership and Management Health Informatics Case report Differential diagnosis Direct access Haglund syndrome Physical therapy Referral and consultation 03 medical and health sciences 0302 clinical medicine Health Information Management Intervention (counseling) differential diagnosis medicine case report physical therapy 030212 general & internal medicine direct access Retrocalcaneal bursitis Exostosis business.industry Health Policy 030229 sport sciences medicine.disease Low back pain Medicine Calcaneus Tendinopathy medicine.symptom business human activities |
| Zdroj: | Healthcare Healthcare, Vol 9, Iss 508, p 508 (2021) |
| ISSN: | 2227-9032 |
| Popis: | Background: Haglund’s syndrome (HS) is a painful condition that is caused by an exostosis of the posterior superior part of the calcaneus coupled with Achilles tendinopathy and retrocalcaneal bursitis. Both for the proper musculoskeletal assessment and for the differential diagnosis process of possible concurrent diseases deriving from other anatomical areas, the diagnosis of HS is still a challenge. Case Presentation: A 41-year-old male amateur runner was diagnosed and treated for low back pain and referred leg pain by his general practitioner. Due to ineffective results, he self-presented to a physical therapist (PT) with intense right heel pain, radiating up to the leg and to the lumbopelvic region. Results: The PT’s examination and interview relating to the sports activities led to the correct diagnosis and a proper orthopedic referral. At the one-year follow-up, the patient reported regular pain-free marathon running. Discussion: This case report highlights the central role of PTs working in direct access environments as primary care healthcare professionals for the management of musculoskeletal diseases, and their abilities in identifying patients with suspected pathologic conditions that may need referral for imaging, medical assessment or surgical intervention. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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