Plantar Fasciitis

Benjamin K. Buchanan, Reddog E. Sina, Donald Kushner, Benjamin K. Buchanan, Reddog E. Sina, Donald Kushner

Excerpt

Plantar fasciitis occurs due to degenerative irritation at the origin of the plantar fascia, located at the medial calcaneal tuberosity of the heel and the surrounding perifascial structures. The plantar fascia plays an essential role in the normal biomechanics of the foot and comprises three segments arising from the calcaneus. The fascia is essential in supporting the arch and providing shock absorption. Despite featuring the -itis suffix in the diagnosis, this condition stands out for its absence of inflammatory cells.

Plantar fasciitis is prevalent in the United States, with millions experiencing heel pain annually. The cause of plantar fasciitis is multifactorial, but most cases result from overuse stress. The classic presentation is of sharp localized pain at the heel. Occasionally, a heel spur may be found (see Images. Lateral Radiograph, Heel Spur and Large Heel Spur and Plantar Calcaneal Spur). Plantar fasciitis is not easy to treat, and patient dissatisfaction is common with most treatments. Nonsurgical management handles most cases, but the recurrence of pain proves frustrating.

Conflict of interest statement

Disclosure: Benjamin Buchanan declares no relevant financial relationships with ineligible companies.

Disclosure: Reddog Sina declares no relevant financial relationships with ineligible companies.

Disclosure: Donald Kushner declares no relevant financial relationships with ineligible companies.

Copyright © 2024, StatPearls Publishing LLC.

References

    1. Bm SA, Tiwari V, Bakde AM, Dwidmuthe S, Roy M. Ultrasonographic Assessment of Indian Patients With Plantar Fasciitis and Its Clinical Correlation: A Prospective Observational Study. Cureus. 2023 Mar;15(3):e35764.
    1. Mørk M, Soberg HL, Hoksrud AF, Heide M, Groven KS. The struggle to stay physically active-A qualitative study exploring experiences of individuals with persistent plantar fasciopathy. J Foot Ankle Res. 2023 Apr 15;16(1):20.
    1. Riddle DL, Pulisic M, Pidcoe P, Johnson RE. Risk factors for Plantar fasciitis: a matched case-control study. J Bone Joint Surg Am. 2003 May;85(5):872-7.
    1. Nahin RL. Prevalence and Pharmaceutical Treatment of Plantar Fasciitis in United States Adults. J Pain. 2018 Aug;19(8):885-896.
    1. LAPIDUS PW, GUIDOTTI FP. PAINFUL HEEL: REPORT OF 323 PATIENTS WITH 364 PAINFUL HEELS. Clin Orthop Relat Res. 1965 Mar-Apr;39:178-86.
    1. Jarde O, Diebold P, Havet E, Boulu G, Vernois J. Degenerative lesions of the plantar fascia: surgical treatment by fasciectomy and excision of the heel spur. A report on 38 cases. Acta Orthop Belg. 2003 Jun;69(3):267-74.
    1. Alshami AM, Babri AS, Souvlis T, Coppieters MW. Biomechanical evaluation of two clinical tests for plantar heel pain: the dorsiflexion-eversion test for tarsal tunnel syndrome and the windlass test for plantar fasciitis. Foot Ankle Int. 2007 Apr;28(4):499-505.
    1. Cho BW, Choi JH, Han HS, Choi WY, Lee KM. Age, Body Mass Index, and Spur Size Associated with Patients' Symptoms in Plantar Fasciitis. Clin Orthop Surg. 2022 Sep;14(3):458-465.
    1. Lai TW, Ma HL, Lee MS, Chen PM, Ku MC. Ultrasonography and clinical outcome comparison of extracorporeal shock wave therapy and corticosteroid injections for chronic plantar fasciitis: A randomized controlled trial. J Musculoskelet Neuronal Interact. 2018 Mar 01;18(1):47-54.
    1. McGonagle D, Marzo-Ortega H, O'Connor P, Gibbon W, Pease C, Reece R, Emery P. The role of biomechanical factors and HLA-B27 in magnetic resonance imaging-determined bone changes in plantar fascia enthesopathy. Arthritis Rheum. 2002 Feb;46(2):489-93.
    1. Drake C, Whittaker GA, Kaminski MR, Chen J, Keenan AM, Rathleff MS, Robinson P, Landorf KB. Medical imaging for plantar heel pain: a systematic review and meta-analysis. J Foot Ankle Res. 2022 Jan 22;15(1):4.
    1. Dasgupta B, Bowles J. Scintigraphic localisation of steroid injection site in plantar fasciitis. Lancet. 1995 Nov 25;346(8987):1400-1.
    1. Wapner KL, Sharkey PF. The use of night splints for treatment of recalcitrant plantar fasciitis. Foot Ankle. 1991 Dec;12(3):135-7.
    1. Pfeffer G, Bacchetti P, Deland J, Lewis A, Anderson R, Davis W, Alvarez R, Brodsky J, Cooper P, Frey C, Herrick R, Myerson M, Sammarco J, Janecki C, Ross S, Bowman M, Smith R. Comparison of custom and prefabricated orthoses in the initial treatment of proximal plantar fasciitis. Foot Ankle Int. 1999 Apr;20(4):214-21.
    1. Majidi L, Saeb F, Alaei B, Khateri S, Ezzati Amini E, Nikoo MR. Comparison of the Effectiveness of Local Corticosteroid Injection and Extracorporeal Shockwave Therapy in Patients With Pes Anserine Bursitis: An Open-Label Randomized Clinical Trial. Med J Islam Repub Iran. 2023;37:10.
    1. Sneed D, Wong C. Platelet-rich plasma injections as a treatment for Achilles tendinopathy and plantar fasciitis in athletes. PM R. 2023 Nov;15(11):1493-1506.
    1. Karakılıç GD, Aras M, Büyük F, Bakırcı EŞ. Prolotherapy Versus Phonophoresis and Corticosteroid Injections for the Treatment of Plantar Fasciitis: A Randomized, Double-Blind Clinical Trial. J Foot Ankle Surg. 2023 May 07;
    1. Nakhaee M, Mohseni-Bandpei M, Mousavi ME, Shakourirad A, Safari R, Kashani RV, Mimar R, Amiri H, Nakhaei M. The effects of a custom foot orthosis on dynamic plantar pressure in patients with chronic plantar fasciitis: A randomized controlled trial. Prosthet Orthot Int. 2023 Jun 01;47(3):241-252.
    1. Davis PF, Severud E, Baxter DE. Painful heel syndrome: results of nonoperative treatment. Foot Ankle Int. 1994 Oct;15(10):531-5.
    1. Fouda KZ, Ali ZA, Elshorbagy RT, Eladl HM. Effect of radial shock wave and ultrasound therapy combined with traditional physical therapy exercises on foot function and dorsiflexion range in plantar fasciitis: a prospective randomized clinical trial. Eur Rev Med Pharmacol Sci. 2023 May;27(9):3823-3832.
    1. Mishra BN, Poudel RR, Banskota B, Shrestha BK, Banskota AK. Effectiveness of extra-corporeal shock wave therapy (ESWT) vs methylprednisolone injections in plantar fasciitis. J Clin Orthop Trauma. 2019 Mar-Apr;10(2):401-405.
    1. Martin RL, Irrgang JJ, Conti SF. Outcome study of subjects with insertional plantar fasciitis. Foot Ankle Int. 1998 Dec;19(12):803-11.

Source: PubMed

3
Tilaa