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Heel pain Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Heel pain. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you had heel pain?

    Why: to determine if acute or chronic.

  2. Is it unilateral or bilateral?
  3. Where exactly on the heel is the pain?
  4. How would you explain the pain in the foot?

    Why: e.g. burning type pain may suggest nerve entrapment; throbbing pain may suggest inflammation of the joints such as Reiter's disease or ankylosing spondylitis; sharp pain over the Achilles may suggest rupture.

  5. Are there certain times of the day when the pain is worse?

    Why: e.g. pain under the heel worse when first stepping out of bed and standing after sitting suggests plantar fasciitis ; pain worse at night may suggest peripheral vascular disease.

  6. Does weight bearing make the pain worse?
  7. Is the person with heel pain a child?

    Why: Children often have Sever's disease (Osteochondritis of the heel) which causes a diffuse heel pain usually in boys around age 10.

  8. History of trauma or injury to foot?

    Why: e.g. falling onto the foot from a height may suggest the possibility of a fractured calcaneus or talus bone.

  9. What footwear do you wear?

    Why: certain causes of foot pain may be due to unsuitable footwear.

  10. Past medical history?

    Why: e.g. diabetes, atherosclerosis, Reiter's syndrome, Ankylosing spondylitis.

  11. Medications?

    Why: certain medications that can cause spasm of the vascular supply and therefore pain including beta blockers and ergotamine.

  12. Pain in other joints?

    Why: e.g. such as hands, legs, spine, sacro-iliac joints - may indicate that the foot pain is part of an arthritis condition such as Reiter's syndrome or Ankylosing Spondylitis which are both associated with plantar fasciitis and Achilles tendonitis.

  13. Recent diarrhea?

    Why: may suggest Reiter's syndrome which is both associated with plantar fasciitis and Achilles tendonitis.

  14. Burning sensation with urination (dysuria) and penile discharge?

    Why: may suggest Reiter's syndrome.

  15. Eye pain?

    Why: may suggest Ankylosing spondylitis or Reiter's disease which are both associated with plantar fasciitis and Achilles tendonitis.

  16. Symptoms of peripheral vascular disease?

    Why: e.g. intermittent claudication (pain in calf and sometimes foot with exercise and relieved by rest); numbness of foot at rest or on walking; rest pain at night, interfering with sleep, precipitated by elevation and relieved by dependency of foot. Arterial ulcers due to inadequate arterial blood supply are usually very painful.

  17. Symptoms of plantar fasciitis?

    Why: e.g. pain under the heel, about 5 cm from the end of the heel when first stepping out of bed or with standing after sitting, relieved after walking about, increases towards the end of the day. It may be bilateral but is usually worse on one side.

  18. Symptoms of Achilles tendonitis?

    Why: e.g. aching pain in the Achilles tendon aggravated by walking on toes. Stiff and sore in the morning after rising but improves with activity. May be caused by repeated toe running in sprinters, running uphill in distance runners or unaccustomed running or walking long distances.

  19. Symptoms of partial rupture of Achilles tendon?

    Why: e.g. sudden sharp pain at the time of the injury over the Achilles tendon, sharp pain when stepping off the affected leg. Usually occurs in males over age 30 who are sporadically engaged in sport requiring jumping or running.

  20. Symptoms of complete rupture of the Achilles tendon?

    Why: e.g. sudden onset of intense pain over the Achilles tendon causing the person to fall down, swelling and bruising over the lower part of the Achilles tendon, some difficulty with walking, especially on tip toe.

  21. Symptoms of S1 nerve entrapment?

    Why: e.g. pain over the heel and most of the sole, weakness of knee flexion, hip extension, weakness of the calf and foot muscles, absent ankle jerk reflex and plantar reflex.

  22. Symptoms of gout?

    Why: e.g. often excruciating pain in the great toe staring in the early hours of the morning, skin over the joint may be red, shiny, swollen and hot, joint is very tender to touch. Pain may be precipitated by alcohol excess, surgical operation, starvation and certain medications. May be associated with Achilles tendonitis.

Conditions listing medical symptoms: Heel pain:

The following list of conditions have 'Heel pain' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Heel pain or choose View All.

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