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.)