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Plantar Fasciitis

Krystyna Guinevere Golden, MD, Blake R Shaffer, M.B.S., M.D. and Brooke Organ, DO Reviewed 06/2022
 


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

Typically made clinically 

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 fa...

TREATMENT

Non-operative management is mainstay of treatment. 

GENERAL MEASURES

  • Weight loss if overweight, pain reduction, improvement of intrinsic foot muscle strength

  • Focus should be on intrinsic foot m...

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
David  JA, Sankarapandian  V, Ch...

ADDITIONAL READING

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

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) with characteristic pattern of pain.

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

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