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Making the Diagnosis
We do an examination of the foot to identify the tender areas. The
blood and nerve supply entering the foot from the ankle is checked. Then you will be
asked to walk while an analysis of your gait is performed. Most of the time, heel
pain is the long term result of a foot problem which can be seen when you walk. X-rays are usually
needed to rule out bone changes, arthritis or a hairline fracture of the heel bone.
You may or may not see a spur. Remember, it is not the spur itself which
hurts but the inflammation around the spur. Blood tests and other studies may be
indicated. Since there is no specific test for heel pain several studies may be
needed to confirm the diagnosis.
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