Can Haglund’s Syndrome Be Misdiagnosed as Low Back Pain? Findings from a Case Report in Physical Therapy Direct Access

Healthcare

卷:9

Firas Mourad¹  Mattia Salomon¹  Fabrizio Brindisino²  Mattia Bisconti²  Marco Testa³  Filippo Maselli³  Giacomo Rossettini³  Valerio Barbari³  Lorenzo Storari³ 

[1] Department of Clinical Science and Traslational Medicine, University of Roma “Tor Vergata”, 00133 Roma, Italy;

[2] Department of Medicine and Health Science “Vincenzo Tiberio”, University of Molise C/da Tappino c/o Cardarelli Hospital, 86100 Campobasso, Italy;

[3] Department of Neurosciences, Rehabilitation, Ophthalmology, Genetic and Maternal Infantile Sciences (DINOGMI), University of Genova—Campus of Savona, 17100 Savona, Italy;

关键词: case report;    differential diagnosis;    direct access;    Haglund syndrome;    physical therapy;    referral and consultation;   

DOI  :  10.3390/healthcare9050508

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown