Plantar Fasciitis (GOLD) Flashcards
1
Q
What is plantar fasciitis?
A
Chronic overuse condition that develops secondary to repetitive stretching of the plantar fascia.
2
Q
What foot deformation is responsible for repetitive stretching of the plantar fascia during gait?
A
Excessive foot pronation during loading phase of gait.
3
Q
What factors contribute to plantar fasciitis?
A
- Obesity
- Excessive pronation during gait
- Tight calf musculature*
- Flattened-Arches or High-Arches
4
Q
Clinical Presentation? (Subjective Complaints)
A
- Severe pain in the heel when first standing up in the morning.
- Pain typically subsides during the day, but increases with prolonged activity.
5
Q
Where will patient typically have point tenderness on palpation?
A
Over the calcaneal insertion of the plantar fascia
6
Q
Medical and Pharmacological Management
A
Local corticosteroid injection or anti-inflammatory
7
Q
PT Management?
A
- Deep friction massage
- Shoe modification, heel inserts
- stretching program to achilles and plantar fascia
- intrinsic and extrinsic muscle strengthening after acute phase
8
Q
When should intrinsic and extrinsic muscle strengthening be implemented?
A
After acute symptoms have subsided
