Painful red bump on the upper back of the heel

Introduction A red mass of pain in the posterior upper part of the heel is a manifestation of colitis in the Achilles tendon. There are many reasons for pain, such as rheumatism, cold, wind, and humidity. The achilles tendon and surrounding soft tissue are located between the calcaneus and the posterior upper. Long-term repeated compression and friction between the two forms bursitis. Heneghan et al studied Haglund's heel pain syndrome, suggesting that the bony prominence of the medial nodules of the calcaneal and the height of the heel play an important role in the pathogenesis and treatment of Haglund's heel pain.

Cause

The achilles tendon and surrounding soft tissue are located between the calcaneus and the posterior upper. Long-term repeated compression and friction between the two forms bursitis.

Heneghan et al studied Haglund's heel pain syndrome, suggesting that the bony prominence of the medial nodules of the calcaneal and the height of the heel play an important role in the pathogenesis and treatment of Haglund's heel pain.

an examination

Related inspection

Joint examination of bone and joint soft tissue CT examination

Early in the upper back of the heel, only a small, slightly hardened and tender erythema was seen. Patients often stick tape here to reduce the pressure on the shoes. As the inflamed bursilla enlarges, a painful red mass appears on the Achilles tendon.

Differential diagnosis

Differential diagnosis of red masses in the upper back of the heel:

1, heel pain: heel pain (calcanodynia), pain on one or both sides of the heel, not red and not swollen, walking inconvenience. Also known as heel pain. It is a disease caused by lesions in the bones, joints, bursae, and fascia of the heel. Commonly known as fasciitis, often occurs in long-standing or walking workers, caused by long-term, chronic minor injuries, manifested as fascia fiber rupture and repair process, the fascia at the medial side of the calcaneus And tenderness, the lateral X-ray film shows the calcaneus of the calcaneus. However, there is not necessarily a heel pain in the bone spur, and sacral fasciitis does not necessarily have a spur.

2, swelling and tenderness of the foot: the heel fractures of the patients can be extremely swollen, the posterior sulcus becomes shallow, and the entire hind foot is swollen and tender.

3, foot pain: 'foot pain' is the pain in the lower part of the ankle joint, including foot pain, foot pain, toe pain and so on. The external force that the foot can withstand and the ability to slow the foot are surprising. However, wearing the wrong shoes is the main cause of foot pain. Most of the complaints about foot pain are women. Among the patients with foot surgery, women accounted for 80%.

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