ankle and foot - plantar fasiitis

Question 1

What is plantar fasciitis

Answer 1

CLINICAL condition- persistant pain assox with degeneration of plantar fascia due to microtears
COMMON, esp in elderly

usually caused in elderly, flat feet, sportsy and obese

Question 2

presentation of plantar fasciitis

Answer 2

insidious HEEL pain
pain worse on first few steps, getting better with moderate activity. (worse with severe)

Exam tender on palpation of heel area, limited dorsiflexion range
Windlass test- extend 1st toe = reproduce pain
limping

Question 3

Ix and Mx of plantar fasciitis

Answer 3

no ix - purely clinical dx

self care- relieve exercise, better footwear, insoles, looser weight
Gets better on its own in 1 y
Analgesia

if severe- consider steroid injection

if self care not working after few months - physio/podiatrist