Plantar Fasciitis

Question 1

define plantar fasciitis

Answer 1

repetitive stress/overload/ degeneration to fascia on the sole of the foot

Question 2

predisposing factors of plantar fasciitis

Answer 2

obesity
diabetes
frequent walking
age (fat pad atrophies)

Question 3

presentation of plantar fasciitis

Answer 3

start-up pain after rest
pain after exercise
swelling of plantar medial aspect of heel with tenderness

Question 4

diagnosis of plantar fasciitis

Answer 4

Tinel’s test positive for Baxter nerve (trapped by swelling of fascia)

Question 5

management of plantar fasciitis

Answer 5

NSAIDs
rest
stretching exercises fro Achilles and Plantar fascia (physio)
gel filled heel pad
corticosteroid injection may alleviate symptoms
night splint

Question 6

how long can it take to reslove?

Answer 6

up to 2 years
surgery is of little value
self-limiting over 18-24 months