Heel pain and Plantar Fasciitis: latest update (2014)

Plantar fasciitis is a common injury with an incidence rate of between 4,5% and 10% in runners.

Plantar fasciitis is the most common foot condition and accounting for up to 15% of all adult foot complaints requir­ing professional care.

Increased plantar fascia thickness is associ­ated with symptoms (altered pain levels) and altered compressive proper­ties of the fat pad in those with plantar heel pain. Heel pain/plantar fasciitis is often see as a chronic con­dition, with symptom duration greater than 1 year.

Risk factors may include limited ankle dorsiflexion ROM, high BMI in nonathletic individuals, running, and work-related weight-bearing activities. The ICD catego­ry of plantar fasciitis and the associated ICF impair­ment-based category of heel pain (b28015 Pain in lower limb, b2804 Radiating pain in a segment or region).

 History and physical examination findings should include:

  •   Plantar medial heel pain: especially the first steps after a period of inactivity and      prolonged weight bearing
  •   Heel pain provoked by a recent increase in weightbearing activity
  •   Pain with palpation at the proximal insertion of the plantar fascia
  •   Positive windlass test
  •   Negative tarsal tunnel tests
  •   Limited active and passive talocrural joint dorsiflexion ROM
  •   Abnormal foot posture index (FPI) score
  •   High BMI in nonathletic individuals

Diagnostic ultrasound may be used to assess plan­tar fascia thickness.

Curious about the rest of the article?

Not yet a member of the Anatomy & Physiotherapy Society?
Check out the benefits of a membership and give it a try today. 

Already a member? Login here below

Signup for our weekly or monthly newsletter and get notified on updates on the themes you're interested in:

Frequence

Please enable the javascript to submit this form

Anatomy & Physiotherapy
Rijksweg Zuid 99
6134 AA Sittard
The Netherlands

Dutch Chamber
of Commerce 58306862
V.A.T. number 852977177B01
IBAN NL28INGB0008954265

A&P is a brand of