 |
 Plantar
fasciitis, also known as heel spur
syndrome, is characterized by pain on the inferior
surface of the heel. It is a common medical
problem that can be associated with debilitating
pain. Typically, aching or sharp heel pain is
described by patients when first bearing weight
upon arising in the morning, or following periods of sitting.
In addition, pain can be significant following
prolonged standing or walking.
Many
factors can be associated with the onset of this
condition. As an overuse syndrome, biomechanical
abnormalities, obesity and prolonged periods of
weight bearing can all play a role in this
problem. |
The
diagnosis of plantar fasciitis is generally straightforward
in nature. A thorough history will be taken in order to
rule out various systemic arthritic conditions which may
be associated with heel pain. A physical examination
will also be performed. Diagnostic tests can include
x-rays, diagnostic ultrasound and MRI.
medications (either
over-the-counter or prescription) as well as
injectible anti-inflammatory steroids are typically
recommended. Physical therapy modalities may also be
instituted. Mechanical treatment approaches to plantar
fasciitis
include use of appropriate shoegear, heel cushions, custom
fabricated in-shoe orthoses and stretching exercises.