Abstract des Autors

The heel pain syndrome is a poorly defined entity with numerous etiologies; some of them are very rare while others are extremely frequent. Globally, heel pain represents approximately 10% of runners' pathologies and can result in a clear impairment in everyday's life and athletic and recreational activities. This paper presents some frequent etiologies as well as the proposed treatments. These are first always conservative and carry out good results in 80 to 90% of the patients. It must however be stressed that the healing process can take a long time and both the patient and his doctor must be aware of that. Several therapeutic modalities are presented and discussed. Actually, surgery is necessary in some 5 to 10% of the patients, all etiologies considered. If the diagnostic is carefully established, the surgical release gives favorable results in 90% of the entrapment neuropathies and recalcitrant plantar fasciitis. Verf.-Referat