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Plantar Fasciitis, Sports Medicine

Randall Burgett, DO and Douglas J. DiOrio, MD Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Degeneration and irritation of the plantar fascia origin at the medial calcaneal tuberosity on the anteromedial side of the heel and surrounding perifascial structures

  • Synonym(s): ent...

DIAGNOSIS

HISTORY

  • Insidious and progressive pain in the inferior heel that can radiate across the medial side and less so to the lateral aspect

  • Pain can involve both feet.

  • Pain can be described as throbb...

TREATMENT

  • Initial treatment is conservative and consists of pain control, activity modifications, exercise therapy, shoe modifications, and weight loss.

  • Avoidance of activities causing or exacerbating ...

REFERENCES

1
Rathleff MS, Mølgaard CM, Fredberg U, et al. High-load strength training improves outcome in patients with plantar fasciitis: a randomized controlled trial with 12-month follow-up. Scand J...

ADDITIONAL READING

  • Clanton TO, Porter DA. Primary care of foot and ankle injuries in the athlete. Clin Sports Med.  1997;16(3):453–466.

  • Cole C, Seto C, Gazewood J. Plantar fasciitis: evidence-base...

CLINICAL PEARLS

  • Initial treatment is conservative, focusing on high-load eccentric strength training.

  • Surgery should only be considered after exhaustive conservative treatment of at least 6 mo to 1 yr ...

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