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Updated: Oct 28, 2025

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

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

Published on: March 1, 2024

[Plantar fasciitis: update 2021].

Guillaume Muff^1,2, Christos Karatzios^1,2, Mathieu Saubade¹

¹Swiss Olympic Medical Center, Hôpital orthopédique, CHUV, 1011 Lausanne.

Revue Medicale Suisse

|July 15, 2021

Summary

Plantar heel pain, often plantar fasciitis, impacts millions. Diagnosis is clinical, confirmed by ultrasound, with treatment prioritizing education and physical measures over early second-line therapies.

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Area of Science:

Orthopedics
Sports Medicine
Physical Therapy

Background:

Plantar heel pain is a prevalent condition affecting 4-9% of the population.
Plantar fasciitis is the most common etiology of plantar heel pain.
It frequently leads to medical consultations.

Purpose of the Study:

To outline the diagnostic approach for plantar heel pain.
To emphasize the importance of conservative management strategies.
To guide the progressive implementation of treatment modalities.

Main Methods:

Clinical diagnosis is primary.
Imaging modalities like X-ray and ultrasound can support diagnosis.
Ultrasound is the preferred imaging technique for confirmation.

Main Results:

The prognosis for plantar heel pain is generally favorable, though recovery can be lengthy.
Therapeutic education and physical measures demonstrate the highest level of evidence for effectiveness.
These conservative treatments should be initiated before considering more invasive options.

Conclusions:

A structured, progressive management plan is essential for plantar heel pain.
Prioritizing patient education and foundational physical therapies is crucial.
Delaying second-line therapies until conservative measures fail is recommended.