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Case report
Plantar vein thrombosis provoked by mechanical strain to the foot: a rare cause of plantar heel pain
  1. Herman Jan Christiaan Swellengrebel1,
  2. Thijs Backus2,
  3. Frank Marinus Zijta3 and
  4. Peer van der Zwaal4
  1. 1Sports and Exercise Medicine, Haaglanden Medisch Centrum Antoniushove, Leidschendam, The Netherlands
  2. 2General Practice, SHG Gezondheidscentrum De Koning, The Hague, The Netherlands
  3. 3Radiology, Haaglanden Medisch Centrum Antoniushove, Leidschendam, The Netherlands
  4. 4Orthopaedics, Haaglanden Medisch Centrum Antoniushove, Leidschendam, The Netherlands
  1. Correspondence to Mr Herman Jan Christiaan Swellengrebel; c.swellengrebel{at}haaglandenmc.nl

Abstract

A 61-year-old mountain hiker presented with acute pain of the medial-plantar aspect of the right foot. As the location, intensity and acute onset of the pain were atypical for fasciitis plantaris, an ultrasound was performed. This demonstrated a segmental plantar vein thrombosis (PVT), which was confirmed on consequent MRI. Patient was a non-smoker, without a medical or family history of coagulopathies. Four months previously, he suffered from metatarsalgia of the left, thus contralateral, foot, which prompted treatment with bilateral orthoses. In addition to metatarsal padding, medial-arch support was prescribed due to the presence of flexible flatfeet. Following internal medicine consultation, treatment consisted of discontinuing the use of orthoses, rest and non-steroidal anti-inflammatory drugs (NSAIDs). At 2-week follow-up, the patient was pain-free. In this case report, PVT, a rare cause for plantar heel pain, is discussed. In addition, a summary of the diagnosis and treatment of PVT is outlined.

  • Venous thromboembolism
  • Haematology (incl blood transfusion)
  • Orthopaedics
  • Radiology
  • Sports and exercise medicine
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Footnotes

  • Contributors Conception of the article: HJCS, TB, FMZ and PvdZ. Identified and managed case: PvdZ. Drafting the article: HJCS. Critical revision of the article: HJCS, TB, FMZ and PvdZ. Guarantor: PvdZ.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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