Plantar fasciitis: Difference between revisions
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Revision as of 00:58, 25 July 2016
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 on arising and after activity
- Worsened with dorsiflexion of toes
- TTP at anterior medial aspect of calcaneus
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