Podiatry · Referral letter · Task 2

Persistent heel pain despite initial treatment

You are a podiatrist. The case notes below record your work on 20 September 2026. Write to Dr Amir Lewis, Musculoskeletal Physician, Musculoskeletal Clinic, 37 Meadow Lane, Brookfield. Request musculoskeletal review, distinguishing symptoms from a confirmed explanation. Select the information this recipient needs and write approximately 180-200 words in the body.

Patient: Rachel Stone

Case notes

• N01Date: 20 September 2026. Patient: Rachel Stone.
• N02Four months: right heel pain initially first steps after rest.
• N03Initial plan: footwear changes, stretching/activity modification; modest early improvement.
• N04Past month: more constant; sometimes seated; no longer confined to initial loading.
• N05Today: plantar heel tenderness. No recent injury/training change reported.
• N06No new diagnosis assigned; management details/clinical record enclosed.
• N07Work: museum guide; prolonged standing; employer can offer seated duties with functional advice.
• N08Concern: lost income; reluctant to reduce hours.
• N09Plan: Dr Amir Lewis, Musculoskeletal Physician; reassess changed pattern; consider investigation/alternative treatment and interim activity limits.
• N10Patient agrees no increase in recreational walking before review.
• N11Background: visits art galleries; lives with spouse.