Plantar fasciitis

Background

  • Most common cause of heel pain
  • Due to inflammation of the plantar aponeurosis (ususally from overuse)
  • 80% of cases resolve spontaneously within 1yr

Clinical Features

  • Pain on the plantar surface of the foot
    • Worsened upon arising in the morning and after activity
    • Worsened with dorsiflexion of toes
  • TTP at anterior medial aspect of calcaneus
  • Pain reproduced with toe dorsiflexion

Differential Diagnosis

Foot diagnoses

Acute

Subacute/Chronic

Evaluation

  • Usually clinical

Management

  • Rest, ice, NSAIDs, heel/arch support inserts
  • Refer to PCP, podiatrist, or orthopedist for follow-up care

Disposition

  • Outpatient treatment

See Also

  • Foot Diagnoses

References

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