Last reviewed: 20 Sep 2020
Last updated: 27 Nov 2019

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • heel pain (stabbing or knife-like)
  • pain relieved with rest
  • post-static dyskinesia

Other diagnostic factors

  • pain exacerbated by walking barefoot
  • pain improved with non-steroidal 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's sign

Risk factors

  • obesity
  • equinus
  • pes planus
  • pes cavus
  • age >40 years old
  • history of prolonged standing
  • runners

Diagnostic investigations

Treatment algorithm

Contributors

Martha Anderson

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.

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 reviewersVIEW ALL

Director

Foot and Ankle Trauma Service

Kaiser Permanente

Cleveland

OH

Disclosures

MAH declares that he has no competing interests.

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.

Program Director

Podiatric Residency

Cleveland Clinic

Cleveland

OH

Disclosures

PJM declares that he has no competing interests.

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