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Plantar Fasciitis

Plantar fasciitis (plantar fasciosis, jogger's heel, tennis heel, policeman's heel, gonorrheal heel) is the pain caused by inflammation of the insertion of the plantar fascia on the medial process of the calcaneal tuberosity; not to be confused with a heel spur.[1]

Causes and Risk FactorsEdit

  • Plantar Fascia Microtrauma [2]
  • Plantar Fascia Over Stressing [3]
  • Pes Planus Foot Structure [4]
  • Pes Cavus Foot Structure [5]
  • Overpronation [6]
  • Training Errors [7]
  • Leg-Length Discrepancy [8]
  • Infectious Conditions [9]
  • Neoplastic Conditions [10]
  • Arthritic Conditions [11]
  • Neurologic Conditions [12]

IncidenceEdit

  • Accounts for 11-15% of all foot symptoms requiring professional care [13]
  • May occur in as much as 10% of the general population [14]
  • Women are affected twice as often as men [15]

Symptoms and SignsEdit

  • Sharp Heel Pain With First Steps After Long Periods of Rest [16]

TestsEdit

  • Palpation at the Calcaneal Insertion of the Plantar Fascia to Reproduce Pain [17]
  • Palpation Along the Course of the Plantar Fascia to Reproduce Pain [18]

TreatmentEdit

  • Icing [19]
  • Rest [20]
  • Activity Modification [21]
  • Night Splint to Apply Constant Stretch [22]
  • Foot Orthoses to Limit Causes and Risk Factors [23]
  • Physical Therapy [24]
  • Fasciotomy [25]

PrognosisEdit

About 80% of plantar fascia cases resolve spontaneously by 12 months. Generally, pain resolves with conservative treatment. 5% of patients undergo plantar fascia release due to failure of conservative treatment.[26]

ReferencesEdit

  1. http://emedicine.medscape.com/article/86143-overview#a0101
  2. http://emedicine.medscape.com/article/86143-overview#aw2aab6b2b4
  3. http://emedicine.medscape.com/article/86143-overview#aw2aab6b2b4
  4. http://emedicine.medscape.com/article/86143-overview#aw2aab6b2b4
  5. http://emedicine.medscape.com/article/86143-overview#aw2aab6b2b4
  6. http://emedicine.medscape.com/article/86143-overview#aw2aab6b2b4
  7. http://emedicine.medscape.com/article/86143-overview#aw2aab6b2b4
  8. http://emedicine.medscape.com/article/86143-overview#aw2aab6b2b4
  9. http://emedicine.medscape.com/article/86143-overview#a0104
  10. http://emedicine.medscape.com/article/86143-overview#a0104
  11. http://emedicine.medscape.com/article/86143-overview#a0104
  12. http://emedicine.medscape.com/article/86143-overview#a0104
  13. http://emedicine.medscape.com/article/86143-overview#a0156
  14. http://emedicine.medscape.com/article/86143-overview#a0156
  15. http://emedicine.medscape.com/article/86143-overview#a0156
  16. http://www.webmd.com/a-to-z-guides/plantar-fasciitis-topic-overview
  17. http://emedicine.medscape.com/article/86143-clinical#a0256
  18. http://emedicine.medscape.com/article/86143-clinical#a0256
  19. http://emedicine.medscape.com/article/86143-treatment#aw2aab6b6b6
  20. http://emedicine.medscape.com/article/86143-treatment#aw2aab6b6b6
  21. http://emedicine.medscape.com/article/86143-treatment#aw2aab6b6b6
  22. http://emedicine.medscape.com/article/86143-treatment#aw2aab6b6b6
  23. http://emedicine.medscape.com/article/86143-treatment#aw2aab6b6b6
  24. http://emedicine.medscape.com/article/86143-treatment#aw2aab6b6b6
  25. http://emedicine.medscape.com/article/86143-treatment#aw2aab6b6b6
  26. http://emedicine.medscape.com/article/86143-overview#aw2aab6b2b6

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