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Published on: March 1, 2024
Plantar fasciitis
Mohammad Ali Tahririan1, Mehdi Motififard, Mohammad Naghi Tahmasebi
1Department of Orthopedics, Kashani Hospital, Medical University of Isfahan, Iran.
Summary
Plantar fasciitis (PF) causes chronic heel pain. Non-surgical treatments like stretching and orthotics are most effective, with surgery reserved for resistant cases.
Area of Science:
- Orthopedics
- Sports Medicine
- Physical Therapy
Background:
- Heel pain is a common orthopedic complaint, frequently caused by plantar fasciitis (PF).
- Patients often experience chronic pain beneath the heel, impacting daily activities.
- Understanding PF's anatomy and pathology is crucial for effective management.
Purpose of the Study:
- To review existing literature on plantar fasciitis.
- To detail the anatomy, histopathology, and associated factors of PF.
- To evaluate diverse treatment modalities, emphasizing non-surgical options.
Main Methods:
- Comprehensive review of studies by leading orthopedic practitioners.
- Analysis of research on PF anatomy, histopathology, clinical features, and imaging.
- Evaluation of various treatment strategies, including non-surgical and surgical interventions.
Main Results:
- Anti-inflammatory agents, plantar stretching, and orthotics show the highest treatment priority for PF.
- Corticosteroid injections, night splints, and extracorporeal shock wave therapy are secondary treatment options.
- Surgical intervention is considered for patients unresponsive to conservative treatments.
Conclusions:
- Non-surgical treatments form the cornerstone of plantar fasciitis management.
- A stepwise approach prioritizing conservative methods is recommended.
- Surgery remains an option for refractory plantar fasciitis cases.
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