Foot & Ankle History

  • Demographics
    • Age
    • Occupation
    • Diabetes, Rheumatoid Arthritis, Smoker
  • pain
    • where
    • radiation
    • type
  • How long
  • how did it start
  • progression
    • getting better, worse or the same
  • when
    • nocte,rest. Mechanical, constant
  • aggravating,relieving
  • associated
    • instability,giveway
    • stiffness
    • clicking, grinding
    • swell,deformity,cosmesis
    • numbness,tingling
  • function
    • home
      • walking distance
      • shoes & socks
      • sticks
      • limp
    • work
    • sport
  • Treatment
    • Nonoperative
      • Medications
        • Analgesia
        • How much
        • How long
      • Physio
      • Orthotics
        • Walking sticks
        • Splints
    • Operative
      • When, what results, complications
  • Exam (Standing)
  • look: shoes,sticks,calipers,front,side,back,single toe rise,Coleman
  • feel: spine
  • move: gait,toe walk,heel walk
  • Exam (Supine)
  • look:sole of foot (wear pattern),plantar keratoses
  • dorsal corns (soft & hard), swelling, deformity, redness, scars
  • feel: pulses, sole of foot, MT heads,MTP joints,interMT spaces,toe
  • tug,”Lachman”,plantar fascia, rest of foot/ankle:systematic
  • move:ankle,subtalar,midtarsal,MTP, IPJ
  • ligs:ankle-AP drawer etc
  • power,neuro: (tib post, tib ant,peroneals etc.)