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Baquie P et al. – This article aims to describe an approach to diagnosis and management based on the location of the pain, the patient’s age, and the type of activity being undertaken. Accurate diagnosis is important for persistent foot pain, as the investigation and management varies significantly between conditions. As a background to understanding common conditions encountered, this article reviews the age related changes in foot structure, foot loading and pathologies. A more detailed discussion of commonly encountered conditions follows.

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