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Plantar Fasciitis

Krystyna G. Golden, MD, Nolan P. Feola, M.D. and Meghan Plunkett, MD Reviewed 04/2024
 


BASICS

DESCRIPTION

  • Degenerative change of plantar fascia at origin on medial tuberosity of calcaneus

  • Classically presents as pain on plantar surface of foot,usually at calcaneal insertion of plantar fa...

DIAGNOSIS

HISTORY

  • Pain on plantar surface of foot, usually at fascial insertion at calcaneus (medial calcaneal tubercle), but can have pain anywhere along length of plantar fascia

  • Pain is typically wors...

TREATMENT

GENERAL MEASURES

  • Weight reduction if BMI >25

  • Intrinsic foot muscle strengthening to stabilize the arch

  • Strengthen calf and intrinsic foot muscles, using the towel drag/pickup exercise and ba...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Ensure patient adherence to proper stretching technique.

  • Following 3 to 6 months of unsuccessful conservative treatment, consider additional therapies or referrals...

REFERENCES

1
Choo YJ, Park CH, Chang MC. Rearfoot disorders and conservative treatment: a narrative review. Ann Palliat Med. 2020;9(5):3546-3552.
2
Erden T, Toker B, Cengiz O, et al. Outcome of Corticost...

ADDITIONAL READING

Li  Z, Yu  A, Qi  B, et al. Corticosteroid versus placebo injection for plantar fasciitis: a meta-analysis of randomized controlled trials. Exp Ther Med.  ...

SEE ALSO

Algorithm: Heel Pain 

CODES

ICD10

M72.2 Plantar fascial fibromatosis 

SNOMED

  • 202882003 Plantar fasciitis (disorder)

  • 231275009 Traumatic plantar fasciitis

  • 12241271000119101 Plantar fasciitis of left foot (disorder)

  • 12241311000119...

CLINICAL PEARLS

  • Plantar fasciitis occurs due to degeneration of plantar fascia at origin (medial calcaneal tuberosity).

  • Plantar medial heel pain with weight-bearing (most noticeable with initial steps ...

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