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Predictive Measurement for Windlass Change in Length and Selected Treatment Outcomes in Chronic Plantar Fasciitis
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Plantar heel pain.

Andrew J Rosenbaum1, John A DiPreta1, David Misener2

  • 1Division of Orthopaedic Surgery, Albany Medical College, 255 Patroon Creek Boulevard, Apartment 1214, Albany, NY 12206, USA.

The Medical Clinics of North America
|February 25, 2014
PubMed
Summary
This summary is machine-generated.

Plantar heel pain, often plantar fasciitis, requires excluding other causes. Treatment begins conservatively, with injections or shock therapy as options, before considering surgery after six months of failed therapies.

Keywords:
Baxter nerveExtracorporeal shock-wave therapyFirst branch lateral plantar nerveHeel spurPlantar fasciaPlantar fasciitisPlantar heel painWindlass mechanism

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Podiatry

Background:

  • Plantar heel pain is a frequent orthopedic complaint.
  • Plantar fasciitis is the most common cause but is a diagnosis of exclusion.
  • Mechanical, rheumatologic, and neurologic conditions must be ruled out first.

Purpose of the Study:

  • To outline the diagnostic approach to plantar heel pain.
  • To detail the management strategies for plantar fasciitis.
  • To establish criteria for surgical consideration.

Main Methods:

  • Clinical history and physical examination are primary diagnostic tools.
  • Diagnostic adjuncts are available to support clinical assessment.
  • Conservative treatment modalities form the initial management approach.

Main Results:

  • Accurate diagnosis relies on excluding other potential causes.
  • Conservative treatments include rest, stretching, orthotics, and physical therapy.
  • Corticosteroid injections and extracorporeal shock-wave therapy are second-line options.

Conclusions:

  • A systematic approach is essential for diagnosing plantar heel pain.
  • Conservative management should be exhausted before surgical intervention.
  • Surgical consideration is reserved for refractory cases after 6 months of failed conservative treatment.