Foot/heel/ankle pain - differentials

• Sprains and strains

• Gout

• Verruca

• Blisters

• Corns and calluses

• Bunions/hallux valgus

• Ingrowing toenails

• Plantar fasciitis

• Morton's neuroma

• Metatarsalgia

• Arthritis

• Achilles tendon injuries

• Oedema

• Diabetic foot problems

• Fractures

• Embedded objects

Ottawa ankle rules

• Tenderness at posterior edge or tip of lateral or medial malleolus

• Inability to bear weight both immediately after injury AND in ED (unable to take 4 steps)

• Tenderness base of 5th metatarsal

• Tenderness at navicular

Resources

• Foot pain (NHS Choices), Foot and ankle pain (Arthritis UK), Heel pain (NHS Choices), Ottawa ankle rules (to determine need for imaging in ankle trauma)

• Ottawa ankle rules to determine need for imaging in ankle trauma patients (MD+CALC)