plantar fasciitis


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plantar fasciitis

inflammation of the plantar fascia, most usually noninfectious, and often caused by an overuse mechanism; elicits foot and heel pain.
Synonym(s): plantar tendinitis

plantar fasciitis

n.
Inflammation of the band of connective tissue on the sole of the foot, characterized by pain in the heel when walking.

plantar fasciitis

painful inflammation of the thick fibrous band on the sole of the foot.

plantar fasciitis

Heel spur syndrome Orthopedics The most common cause of inferior heel pain, usually of the medial aspect of the plantar fascia as it attaches to the inferior medical calcaneal tuberosity; the pain is usually worse in the morning and persists as a dull, toothache-like pain, exacerbated by ↑ activity, lasting up to 6-12 months; the medial insertion of the plantar fascia on the calcaneus may be tender; extension of the great toe can cause Sx; cavus feet or pronation on gait may be evident on exam Management Cross-friction ice massage, arch exercises, stretches, heel cups, NSAIDs, arch pads/orthotics, night splints, physical therapy

plan·tar fas·ci·i·tis

(plan'tahr fash'ē-ī'tis)
Damage and/or inflammation of the fascia of the plantar surface of the foot, usually at the calcaneal attachment.

plantar fasciitis

An inflammatory disorder of the strong sheet of white fibres under the shin of the sole of the foot that helps to maintain the longitudinal arch. Plantar fasciitis may be caused by unaccustomed athletic activity, sudden weigh gain or unsuitable footwear. It is the commonest cause of pain under the heel but will usually resolve without treatment.

fasciitis

inflammation of fascia
  • plantar fasciitis acute or chronic inflammation of plantar fascia due to formation of microtears in response to repetitive excessive tensile forces (e.g. as in overpronating or cavoid foot); characterized by pain, acute or chronic discomfort in proximal, central or distal part of the plantar fascia, that may radiate into the Achilles tendon; see triple therapy for plantar fasciitis; Table 1

Table 1: Rearfoot pain
Location of painPossible causes
Posterior aspect of heelSever's disease/traction apophysitis
Duck bill fracture of calcaneum
Haglund's deformity
Insertional calcific Achilles tendinosis
Deep retrocalcaneal bursitis
Superficial retrocalcaneal bursitis
Achilles tendinitis
Partial rupture of Achilles tendon
Total rupture of the Achilles tendon
Blisters
Chilblain/perniosis
Inferior (plantar) aspect of heelCalcaneal fracture
Osteoid osteoma
Calcaneal spur
Baxter's neuritis
Sero-negative and sero-positive inflammatory joint disease
Plantar calcaneal bursitis (policeman's heel; stone bruise; subcalcaneal bursitis)
Proximal plantar fasciitis
Proximal foot strain
S1 entrapment neuropathy/radiculopathy
Medial calcaneal nerve entrapment neuropathy
Corn/callosity
Verruca pedis
Medial aspect of the heelDeltoid ligament strain/sprain
Tibialis posterior tendinitis
Tibialis posterior rupture/partial rupture
Flexor hallucis longus tendinitis
Flexor digitorum longus tendinitis
Lateral aspect of the heelLateral collateral ligament strain/sprain
Peroneus longus tendinitis
Peroneus brevis tendinitis
Anterior aspect of ankleOsteochondritis dissecans of the talus
Anterior impingement
Extensor retinaculitis
Periphery of heelHeel fissures
Tinea pedis

Patient discussion about plantar fasciitis

Q. Can anyone suggest a treatment for plantar fasciitis, apart from ultrasound, physio, anti-inflammatory agents? My friend has had Plantar Fasciitis for more than 1 year and has persevered with all the ususal treatments above plus lots of rest from weight-bearing and elevation.

A. Padded foot splints, silicone heels insert and special shoes (e.g. arch-supporting shoes) may also help. These are usually sold and fitted by a professional. Exercise is another important measure. Some patients benefit from avoiding walking barefoot or in sleepers but rather using shoes from the first step.

More advanced treatments include steroid-local anesthetics injections, botulinum toxin (similar to botox) injections and surgery.

The prognosis is usually favorable, and most patients achieve relief of the pain.

However, all of the above is just for general knowledge - if you have any specific question, you may want to consult a doctor.

You may read more here:
www.nlm.nih.gov/medlineplus/ency/article/007021.htm

Q. Is there any good source for heel pain relief, besides NSAIDs? My heel pain is most severe at night when I sleep. It's as if the way I position my feet worsen the condition, but I'm at a loss to know how to position my feet. During the day my heels feel so but don't typically bother me.

A. I have found that keeping my feet flexed (the position they are in when standing) helps ease the pain of plantar facitis. I also don't let my feet get cold(wear socks)and keep heavy blankets and quilts off the feet. Placing a box under the covers at the foot of the bed will help keep the blankets up. Do try the exercises recommended on the above web sites. It usually resolves in about 6 months. Best wishes!

More discussions about plantar fasciitis
References in periodicals archive ?
Plantar fasciitis is commonly seen in primary care as it accounts for 80% of all heel pain and 10% of all running related injuries.
With this in mind, the American Orthopaedic Foot & Ankle Society has worked with Consumer Reports Health to produce a patient handout explaining why conservative treatment of plantar fasciitis, which can include a stretching program, is the best approach.
shoe inserts and plantar fascia-specific stretching in patients with plantar fasciitis.
Plantar fasciitis or "heel spurs" occurs when a thick, flat tissue (plantar fascia ligament) that runs under the soles of the feet and connects the large heel bone to the toes becomes inflamed and often painful.
Ballet flats and other shoes with little padding can also cause plantar fasciitis because the lack of proper cushioning can inflame the balls of your feet.
The clinical study participants had on average, experienced chronic plantar fasciitis symptoms for close to 2.
Most flip-flops are designed with minimal support or cushion, which means that the impact from walking can lead to foot pain and injuries like plantar fasciitis, Achilles tendinitis and stress fractures," says Dr.
Plantar fasciitis is the most frequent cause of chronic heel pain, leaving many sufferers unable to put their best foot forward for months at a time.
These are the typical symptoms of plantar fasciitis, a disorder that may affect 10% of the middle-aged population, especially women.
Q: I hAVE a very painful heel that my doctor said is down to plantar fasciitis.