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Plantar Fasciitis

Brooke E. Organ, DO, Krystyna Guinevere Golden, MD and Roselyn Jan W. Clemente-Fuentes, MD, FAAFP Reviewed 06/2020
 


BASICS

DESCRIPTION

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

  • Pain on plantar surface, usually at calcaneal insertion of plantar fascia upon weight-bearing, especi...

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

Non-operative management is mainstay of treatment. 

GENERAL MEASURES

  • Supportive footwear with stable midfoot; avoid sandals or walking barefoot.

  • Relative rest/activity modification with avoidan...

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
David JA, Sankarapandian V, Christopher PR, et al. Injected corticosteroids for treating plantar heel pain in adults. Cochrane Database Syst Rev.  2017;(6):CD009348.
2
Hocaoglu S, Vurde...

ADDITIONAL READING

  • Al-Boloushi Z, López-Royo MP, Arian M, et al. Minimally invasive non-surgical management of plantar fasciitis: A systematic review. J Bodyw Mov Ther.  2019;23(1):122–137.

  • Bahram...

CODES

ICD10

M72.2 Plantar fascial fibromatosis 

ICD9

728.71 Plantar fascial fibromatosis 

SNOMED

  • 202882003 Plantar fasciitis (disorder)

  • 231275009 Traumatic plantar fasciitis

  • 12241271000119101 Plantar fasciit...

CLINICAL PEARLS

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

  • Plantar medial heel pain with weight-bearing ...

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