FootDiagnostic Algorithm

Diagnostic Flowchart: Foot

Follow the algorithm step by step. Click on options to navigate through the decision tree.

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start

Foot Pain Assessment

Full Algorithm Overview

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Foot Pain Assessment

→ q_trauma_foot
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Acute traumatic injury?

Yes → q_midfootNo → q_heel
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Midfoot pain with plantar ecchymosis?

Yes → d_lisfrancNo → q_mt_fracture
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Suspected Lisfranc Injury — URGENT

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Point tenderness over metatarsal? 5th MT base?

Yes → d_mt_fractureNo → q_heel
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Metatarsal Fracture

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Heel pain? Worst with first steps in morning?

Yes → q_squeezeNo → q_forefoot
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Positive calcaneal squeeze test (mediolateral compression)?

Yes → d_calcaneal_stressNo → d_plantar_fasciitis
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Calcaneal Stress Fracture

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Plantar Fasciitis

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Forefoot pain between metatarsal heads? Numbness in toes?

Yes → d_mortonNo → q_great_toe
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Morton's Neuroma

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Acute severe pain at 1st MTP joint? Red, hot, swollen?

Yes → d_goutNo → q_hallux
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Gout (Podagra)

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Great toe stiffness with reduced dorsiflexion?

Yes → d_hallux_rigidusNo → d_other_foot
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Hallux Rigidus

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Consider: Hallux valgus, stress fracture, Sever disease (children), flat feet