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Updated: Feb 4, 2026
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Preliminary Study on Acupuncture Combined with Grain-sized Moxibustion for Treating Rheumatoid Arthritis with Finger Joint Pain
Published on: May 16, 2025
1.1K
Enthesitis, arthritis, and heel pain
1Division of Pediatric Rheumatology, Hospital for Special Surgery, New York, New York, USA.
Journal of the American Podiatric Medical Association
|February 2, 1999
Summary
Many patients with heel pain and normal labs have undiagnosed spondyloarthropathy. Thorough medical history and physical exams are key to identifying this condition.
Area of Science:
- Rheumatology
- Orthopedics
- Diagnostic Medicine
Background:
- Isolated heel pain with normal labs often leads to missed diagnoses.
- Patients may not report other symptoms like back pain or enthesitis, attributing them to unrelated issues.
Purpose of the Study:
- To highlight the importance of thorough patient evaluation for diagnosing spondyloarthropathy in cases of isolated heel pain.
- To emphasize that spondyloarthropathy can present initially as seemingly isolated heel pain.
Main Methods:
- Detailed medical history taking.
- Comprehensive physical examinations.
- Careful questioning to elicit non-obvious symptoms.
Main Results:
- A significant proportion of patients with "isolated" heel pain were diagnosed with spondyloarthropathy.
- Key diagnostic indicators were often revealed only through specific inquiry.
Conclusions:
- Spondyloarthropathy should be considered in patients presenting with isolated heel pain, even with normal initial investigations.
- A detailed clinical assessment is crucial for uncovering this diagnosis.
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