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Can Haglund’s Syndrome Be Misdiagnosed as Low Back Pain? Findings from a Case Report in Physical Therapy Direct Access
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 possi...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8146853/ https://www.ncbi.nlm.nih.gov/pubmed/33925090 http://dx.doi.org/10.3390/healthcare9050508 |
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author | Maselli, Filippo Storari, Lorenzo Barbari, Valerio Rossettini, Giacomo Mourad, Firas Salomon, Mattia Bisconti, Mattia Brindisino, Fabrizio Testa, Marco |
author_facet | Maselli, Filippo Storari, Lorenzo Barbari, Valerio Rossettini, Giacomo Mourad, Firas Salomon, Mattia Bisconti, Mattia Brindisino, Fabrizio Testa, Marco |
author_sort | Maselli, Filippo |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8146853 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-81468532021-05-26 Can Haglund’s Syndrome Be Misdiagnosed as Low Back Pain? Findings from a Case Report in Physical Therapy Direct Access Maselli, Filippo Storari, Lorenzo Barbari, Valerio Rossettini, Giacomo Mourad, Firas Salomon, Mattia Bisconti, Mattia Brindisino, Fabrizio Testa, Marco Healthcare (Basel) Case Report 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. MDPI 2021-04-28 /pmc/articles/PMC8146853/ /pubmed/33925090 http://dx.doi.org/10.3390/healthcare9050508 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Maselli, Filippo Storari, Lorenzo Barbari, Valerio Rossettini, Giacomo Mourad, Firas Salomon, Mattia Bisconti, Mattia Brindisino, Fabrizio Testa, Marco Can Haglund’s Syndrome Be Misdiagnosed as Low Back Pain? Findings from a Case Report in Physical Therapy Direct Access |
title | Can Haglund’s Syndrome Be Misdiagnosed as Low Back Pain? Findings from a Case Report in Physical Therapy Direct Access |
title_full | Can Haglund’s Syndrome Be Misdiagnosed as Low Back Pain? Findings from a Case Report in Physical Therapy Direct Access |
title_fullStr | Can Haglund’s Syndrome Be Misdiagnosed as Low Back Pain? Findings from a Case Report in Physical Therapy Direct Access |
title_full_unstemmed | Can Haglund’s Syndrome Be Misdiagnosed as Low Back Pain? Findings from a Case Report in Physical Therapy Direct Access |
title_short | Can Haglund’s Syndrome Be Misdiagnosed as Low Back Pain? Findings from a Case Report in Physical Therapy Direct Access |
title_sort | can haglund’s syndrome be misdiagnosed as low back pain? findings from a case report in physical therapy direct access |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8146853/ https://www.ncbi.nlm.nih.gov/pubmed/33925090 http://dx.doi.org/10.3390/healthcare9050508 |
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