Plantar Fasciopathy

Question 1

definition

Answer 1

-Overuse injury affecting the heel and MLA
-More common in pes planus (tensile load),and pes cavus (strain on heel)

Question 2

Signs and Symptoms

Answer 2

-insidious onset
-Pain typically medial tuberosity of calcaneus
-first step pain, get better throughout the day
-over time pain can increase and remain whenever WB, due hypersensitivity to pain

Question 3

Diagnosis

Answer 3

-Hx of heel pain
-Symptoms
-Palpation of plantar fascia under tension
-Ultrasound may help

Question 4

DDX

Answer 4

-Tib post tedinopathy
-Plantar fibroma
-Fat pad atrophy

Question 5

What is a plantar fibroma?

Answer 5

-Fibrous knot/nodule in the arch of the foot
-embedded within the plantar fascia

Question 6

What is the initial treatment

Answer 6

-Education
-Load management
-Icing
-Pain monitoring
-Shoes and orthotics

Question 7

Further long term treatment

Answer 7

-Shockwave therapy
-Injections

Question 8

Short term relief exercises

Answer 8

-Plantar fascia stretch (mornings)
-Tow curls
-Toe yoga

Question 9

Long term exercises

Answer 9

-Heel raise
-Squat
-Single leg balance

Question 9

Long term exercises

Answer 9

-Heel raise
-Squat
-Single leg balance

Question 10

What is the goal of rehab in plantar fasciopathy

Answer 10

-Balance out the Load and capacity equation