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Chapter 24 - Plantar Fasciitis

from Part V - Extremities

Published online by Cambridge University Press:  01 December 2023

By
Kevin Bennett  and
Morgan Hasegawa
Edited by
Omar Viswanath  and
Ivan Urits
Omar Viswanath
Affiliation:
Creighton University, Omaha
Ivan Urits
Affiliation:
Southcoast Brain & Spine Center, Wareham
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Summary

Plantar fasciitis (PF) is a common cause of chronic foot and heel pain in active and sedentary adults. It is present in approximately 0.85% of the population and is more common in the obese, women, and those aged 45?64 years. Point tenderness at the inferior calcaneus, radiation of pain to plantar fascia on dorsiflexion of ankle and extension of toes, and thickening of the plantar fascia on imaging are strong diagnostic indications of PF. Most cases of PF can be managed with conservative therapy, including weight loss, stretching, and foot strengthening, and NSAIDs LCI, PRP, and botulinum toxin-A injections at the plantar fascia are all effective in relief of symptoms and return of functionality in the foot. Treatments such as radiofrequency ablation of local nerves and ESWT are even superior to local injections and are effective in many patients refractory to all other treatment.

Keywords

plantar fasciitisfoot paindorsiflexioninjection of footchronic pain
Type
Chapter
Information
Cambridge Handbook of Pain Medicine , pp. 194 - 204
Publisher: Cambridge University Press
Print publication year: 2023

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References

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