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plantar fasciitisHeel 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)
plantar fasciitisAn 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.
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.
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.
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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.