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Plantar fasciopathy
1OrthoTrauma Evaluation Center, Mainz, Germany. profrompe@web.de
Sports Medicine and Arthroscopy Review
|May 15, 2009
Summary
Plantar fasciopathy, a common cause of heel pain, often resolves within a year. Conservative treatments, including extracorporeal shockwave therapy, are recommended before considering surgery for persistent cases.
Area of Science:
- Orthopedics
- Sports Medicine
- Physical Therapy
Background:
- Plantar fasciopathy is the leading cause of plantar heel pain.
- Diagnosis involves pain and tenderness at the medial calcaneus.
- The condition is often self-limiting, with over 80% resolution within 12 months.
Purpose of the Study:
- To review the management strategies for plantar fasciopathy.
- To evaluate the role of conservative versus surgical interventions.
- To highlight the efficacy of extracorporeal shockwave treatment.
Main Methods:
- Review of existing literature, including randomized controlled trials.
- Analysis of conservative management options.
- Assessment of surgical intervention outcomes and risks.
Main Results:
- No high-quality trials support surgical management efficacy.
- Conservative modalities are the recommended first-line treatment.
- Extracorporeal shockwave treatment shows efficacy after conservative method failure, avoiding surgical risks.
Conclusions:
- Conservative management, including shockwave therapy, is preferred for plantar fasciopathy.
- Surgery is reserved for a small subset of refractory cases.
- Early intervention with conservative methods can prevent surgical complications.
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