Daily Bolus of LR: Plantar Fasciitis

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September 30, 2011 by dailybolusoflr

Plantar Fasciitis

* This is the most common cause of heel pain
* The plantar fascia forms the longitudinal arch of the foot running from the calcaneus to the proximal phalynges
* Peak incidence if in women aged 40-60
* The most common complaint is pain around the heel that is first felt with initial steps in the morning that improves initially but then worsens throughout the day
* Symptoms are worsened walking barefoot or on hard surfaces and often reported to be worse while walking up the stairs
* Pain can be reproduced by passive dorsiflexion of the toes or by asking the patient to stand on their toes
* In the ED, stress fracture should be ruled out based on clinical suspicion. Treatment is supportive with anti-inflammatory medication
* Patients can be referred for creation of night splints, sole support inserts, stretching exercises and rarely for plantar release if conservative management fails

Am Fam Physician 2011 Sep 15;84(6):676-82

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