acute or chronic foot strain

sprained ankle

OA

Plantar fascitis

achilles tendonopathy

Wart, corn or callus

ingrowing toenail/paronychia

painful foot and ankle

serious not to be misses

vascular insufficiency: small vessel disease

neoplasia: osteoid osteoma, osteosarcoma, synovial sarcoma

Severe infections (rare): septic arthritis, actinomycosis, osteomyelitis

RA

peripheral neuropathy

complex regional pain syndrome

ruputured achilles tendon

ruptured tibialis posterior tendon

painful foot and ankle

pitfalls

FB

Gout

chilblains

stress fracture (eg navicular)

erythema nodosum

glomus tumour (under nail)

paget disease

spondyloarthopathies

osteochondritis: navicular (Kohler) metatarsal head (Freiberg), calcaneum (Sever)

painful foot and ankle

masquarades

DM

Drugs

spinal dysfunction

?depression

?anaemia