Clinician Resources
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When to Refer for Imaging: X-ray in Foot and Ankle Pain
X-ray imaging remains a fundamental first-line investigation in the assessment of foot and ankle pain. While not all patients require imaging, understanding when to refer for radiographs is essential in identifying structural pathology, guiding management, and avoiding missed diagnoses. X-rays are particularly useful in evaluating bony structures, joint alignment, and degenerative change. Common indications include…
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When to Refer Forefoot Pain: Differentiating Metatarsalgia and Morton’s Neuroma
Forefoot pain is a common presentation in clinical practice, often described by patients as pain under the ball of the foot or between the toes. While many cases are attributed to metatarsalgia or Morton’s neuroma, it is important to differentiate between these conditions and recognise when symptoms warrant further investigation or referral. Metatarsalgia is typically…
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When to Refer Heel Pain: Differentiating Plantar Fasciitis and Achilles Tendinopathy
Heel pain is one of the most common presentations in foot and ankle practice, frequently attributed to plantar fasciitis or Achilles tendinopathy. While many cases respond well to initial conservative management, it is important to differentiate between these conditions and recognise when symptoms warrant further investigation or referral. Plantar fasciitis typically presents with pain on…