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Plantar Fasciitis

Renu Gautam, MD, MSc and Thomas A. Waller, MD Reviewed 06/2018
 


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

Nonoperative management is mainstay of treatment. 

GENERAL MEASURES

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

  • Relative rest/activity modification

  • Stretching: pl...

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 of Syst Rev.  2017;(6):CD009348. [View Abstrac...

ADDITIONAL READING

  • Berbrayer D, Fredericson M. Update on evidence-based treatments for plantar fasciopathy. PM R.  2014;6(2):159–169. [View Abstract on OvidMedline]

  • Li Z, Yu A, Qi B, et al. Corti...

SEE ALSO

Algorithm: Heel Pain 

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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