Plantar fasciitis Flashcards
1
Q
what is plantar fasciitis?
A
inflammation of the plantar fascia of the foot
most common cause of infracalcaneal pain
2
Q
what causes plantar fasciitis?
A
microtears to the plantar fascia suggesting a chronic breakdown of the structure
3
Q
where is the plantar fascia located?
A
medial process of calcaneal tuberosity towards the forefoot and inserts into the proximal phalangeals
4
Q
what are the risk factors for plantar fasciitis?
A
- anatomical e.g excessive pronation or high arches
- weak plantaflexors or tight gastrocnemius or soleus
- prolonged standing or excessive running
- leg length discrepencys
- obesity
- unsupportive footwear
5
Q
what are the clinical features of plantar fasciitis?
A
- sharp pain across plantar aspect of foot, felt worse in heel and can radiate down heal distally
- infracalcaneal region is commonly tender on palpation
6
Q
what investigations can be done for plantar fasciitis?
A
- clinically diagnosed
- plain radiograph to exclude bony inkjury and asses for plantar heel spur, which can indicate abdomal loading of plantar fascia
- MRI if uncertain of diagnosis will indicate plantar fascial thickening and any oedema
7
Q
how can plantar fasciitis be managed conservatively?
A
- analgesia
- activity moderation
- footwear adjustment
- physiotherapy
gives a good prognosis.
8
Q
how can plantar fasciitis be managed surgically?
A
- corticosterioid injections can be trialled
- if this doesnt work, plantar fasciotomy can be done endoscopically.
75% sucess rate
