Plantar fasciitis
შეჯამება
განსაზღვრება
ანამნეზი და გასინჯვა
ძირითადი დიაგნოსტიკური ფაქტორები
- heel pain (stabbing or knife-like)
- pain relieved with rest
- poststatic dyskinesia
- pain exacerbated by standing and other activities of daily living
სხვა დიაგნოსტიკური ფაქტორები
- pain exacerbated by walking barefoot or in nonsupportive footwear
- pain improved with nonsteroidal anti-inflammatory drug (NSAID) use
- no history of acute injury to the heel
- self-limiting pain
- unilateral heel pain
- positive dorsiflexion-eversion test
- positive Windlass test
- negative Tinel sign
რისკფაქტორები
- Increased body mass index (BMI)
- equinus
- pes planus
- pes cavus
- age >40 years old
- history of prolonged standing or walking
- athletes, particularly runners
- sedentary lifestyle
- wearing improper or excessively worn shoes
- increases or changes in activity
დიაგნოსტიკური კვლევები
1-ად შესაკვეთი გამოკვლევები
- foot x-ray
გასათვალისწინებელი კვლევები
- technetium (Tc-MDP 3-phase) bone scan
- MRI
- HLA-B27
- rheumatoid factor
- ultrasound
მკურნალობის ალგორითმი
all patients
კონტრიბუტორები
ავტორები
Martha Anderson, DPM, FACFAS
Podiatric Foot and Ankle Surgeon
Private Practice
Foot and Ankle Wellness Center
Podiatric Foot and Ankle Surgeon
Department of Surgery
Grady Memorial Hospital
Delaware
OH
Disclosures
MA declares that she has no competing interests.
Acknowledgements
Dr Martha Anderson would like to gratefully acknowledge Dr Georgeanne Botek, the previous contributor to this topic. GB declares that she has no competing interests.
Peer reviewers
Mark A. Hardy, DPM, FACFAS
Director
Foot and Ankle Trauma Service
Kaiser Permanente
Cleveland
OH
Disclosures
MAH declares that he has no competing interests.
Molly Judge, DPM, FACFAS
Board Certified in Reconstructive Rear foot and Ankle Surgery
Department of Surgery
St. Vincent Charity Hospital
Cleveland
OH
Disclosures
MJ declares that she has no competing interests.
Patrick J. McKee, DPM
Program Director
Podiatric Residency
Cleveland Clinic
Cleveland
OH
Disclosures
PJM declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
References
Key articles
Schneider HP, Baca JM, Carpenter BB, et al. American College of Foot and Ankle Surgeons clinical consensus statement: diagnosis and treatment of adult acquired infracalcaneal heel pain. J Foot Ankle Surg. 2018 Mar-Apr;57(2):370-81.Full text Abstract
Rhim HC, Kwon J, Park J, et al. A systematic review of systematic reviews on the epidemiology, evaluation, and treatment of plantar fasciitis. Life (Basel). 2021 Nov 24;11(12).Full text Abstract
Koc TA Jr, Bise CG, Neville C, et al. Heel pain - plantar fasciitis: revision 2023. J Orthop Sports Phys Ther. 2023 Dec;53(12):CPG1-39.Full text Abstract
American College of Radiology. ACR appropriateness criteria: chronic foot pain. 2020 [internet publication].Full text
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Plantar fascia rupture
- Heel fat pad syndrome (fat pad atrophy)
- Proximal plantar fibromatosis (Ledderhose disease)
More DifferentialsGuidelines
- Heel pain - plantar fasciitis: revision 2023
- ACR appropriateness criteria: chronic foot pain
More GuidelinesPatient information
Heel pain (plantar fasciitis)
Obesity - drugs and surgery
More Patient information
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