Plantar fasciitis: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
[[File:PF-PlantarDesign.jpg|thumb|Deep anatomy of the sole with physical findings.]] | |||
*Pain on the plantar surface of the foot | *Pain on the plantar surface of the foot | ||
**Worsened | **Worsened upon arising in the morning and after activity | ||
**Worsened with dorsiflexion of toes | **Worsened with dorsiflexion of toes | ||
*TTP at anterior medial aspect of calcaneus | *TTP at anterior medial aspect of calcaneus | ||
*Pain reproduced with toe dorsiflexion | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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*Rest, ice, [[NSAIDs]], heel/arch support inserts | *Rest, ice, [[NSAIDs]], heel/arch support inserts | ||
*Refer to PCP, podiatrist, or orthopedist for follow-up care | *Refer to PCP, podiatrist, or orthopedist for follow-up care | ||
==Disposition== | |||
*Outpatient treatment | |||
==See Also== | ==See Also== | ||
Latest revision as of 19:13, 27 May 2021
Background
- Most common cause of heel pain
- Due to inflammation of the plantar aponeurosis (ususally from overuse)
- 80% of cases resolve spontaneously within 1yr
Clinical Features
- Pain on the plantar surface of the foot
- Worsened upon arising in the morning and after activity
- Worsened with dorsiflexion of toes
- TTP at anterior medial aspect of calcaneus
- Pain reproduced with toe dorsiflexion
Differential Diagnosis
Foot diagnoses
Acute
- Foot and toe fractures
- Subtalar dislocation
- Metatarsophalangeal joint sprain (turf toe)
- Acute arterial ischemia
- Calcaneal bursitis
Subacute/Chronic
- Diabetic foot infection
- Peripheral artery disease
- Plantar fasciitis
- Trench foot
- Ingrown toenail
- Paronychia
- Tinea pedis
- Morton's neuroma
- Diabetic neuropathy
Evaluation
- Usually clinical
Management
- Rest, ice, NSAIDs, heel/arch support inserts
- Refer to PCP, podiatrist, or orthopedist for follow-up care
Disposition
- Outpatient treatment