A common cause of heel pain in athletes. There may be excessive pronation. Exclude stress fractures and Reiter's. Surgery is seldom useful. An American football injury.
Diagnosis can be difficult.
Examine for pronated feet and marked external tibial torsion. There is pain and localised tenderness, which partially relieved by rest, is typical. MRI is useful. Treatment Most heal with rest, immobilisation and cross training. Female athletes may require hormone therapy.