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Updated: Apr 20, 2026

Predictive Measurement for Windlass Change in Length and Selected Treatment Outcomes in Chronic Plantar Fasciitis
Published on: March 1, 2024
Diagnosis and management of plantar fasciitis
John V Thompson1, Sundeep S Saini1, Christopher W Reb1
1From the Department of Orthopaedic Surgery at Memorial Hospital in York, Pennsylvania (Dr Thompson); the Rowan University School of Osteopathic Medicine (RowanSOM) in Stratford, New Jersey (Student Doctor Saini); the Department of Orthopedics at RowanSOM in Stratford, New Jersey (Dr Reb); and the Department of Surgery at Jefferson Medical College in Philadelphia, Pennsylvania (Dr Daniel). Dr Thompson is in his second year of residency training, and Dr Reb is in his fifth year of residency training.
Abstract:
Plantar fasciitis, a chronic degenerative process that causes medial plantar heel pain, is responsible for approximately 1 million physician visits each year. Individuals with plantar fasciitis experience pain that is most intense during their first few steps of the day or after prolonged standing. The authors provide an overview of the diagnosis and management of a common problem encountered in the primary care setting. Routine imaging is not initially recommended for the evaluation of plantar fasciitis but may be required to rule out other pathologic conditions. Overall, plantar fasciitis carries a good prognosis when patients use a combination of several conservative treatment modalities. Occasionally, referral to a specialist may be necessary.
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