The patient was treated symptomatically; a follow-up MRI at 8 months showed postoperative enhancement in the surgical bed suggestive of viable tissue, and at 10 months, a follow-up MRI showed that there was near total healing of the
calcaneal region.
heel pain can be caused by many causes which are by structures around the calcaneal insertion of the tendo achillis as follows: Achillis tendon tendinitis, retro
calcaneal region, posterior calcaneal spur, plantar spur.
Other localizations had the following distributions: the trochanteric region with 12 cases (21.8%), ischia region 11 cases (20%), femoral region 3 cases (5.4%), occipital region 2 cases (3.6%), maleolar region 2 cases (3.6%), and
calcaneal region 1 case (1.8%).