Differential Diagnosis for Pain from Mid Foot to Heel
Single Most Likely Diagnosis
- Plantar Fasciitis: This is the most common cause of heel pain, often radiating to the midfoot. It is characterized by inflammation of the plantar fascia, a band of tissue that supports the arch of the foot. The pain is typically worse in the morning and after periods of rest.
Other Likely Diagnoses
- Achilles Tendinitis: Inflammation of the Achilles tendon, which connects the calf muscles to the heel bone, can cause pain in the back of the heel and sometimes radiate to the midfoot.
- Midfoot Sprain: A sprain in the midfoot region can cause pain and swelling, especially if there has been a recent injury or overuse.
- Morton's Neuroma: A condition where a nerve in the foot becomes irritated, often between the third and fourth toes, causing pain that can radiate to the midfoot and heel.
- Overuse or Stress Fractures: Small cracks in the bones of the foot, often due to overuse or repetitive stress, can cause pain in the midfoot and heel.
Do Not Miss Diagnoses
- Deep Vein Thrombosis (DVT): Although less common, DVT can cause pain in the foot and leg. It's a blood clot that forms in a deep vein, usually in the legs, and can be life-threatening if it breaks loose and travels to the lungs.
- Osteomyelitis: An infection of the bone, which can cause severe pain, redness, and swelling. It requires prompt antibiotic treatment to prevent serious complications.
- Tumor: Both benign and malignant tumors can occur in the foot and cause pain. Early detection is crucial for effective treatment.
Rare Diagnoses
- Tarsal Tunnel Syndrome: A condition that is similar to carpal tunnel syndrome but occurs in the foot. It involves compression of the posterior tibial nerve as it travels through the tarsal tunnel on the inner side of the ankle.
- Freiberg's Disease: A rare condition that affects the metatarsal bones in the foot, causing pain and stiffness, especially in the midfoot area.
- Kohler's Disease: A rare bone disorder causing pain and swelling in the midfoot, typically affecting children and adolescents.