Plantar Fasciopathy

Question 1

definition

Answer 1

• Overuse injury affecting the heel and MLA

- More common in pes planus (tensile load),and pes cavus (strain on heel)

Question 2

Signs and Symptoms

Answer 2

• insidious onset
• Pain typically medial tuberosity of calcaneus
• first step pain, get better throughout the day
• over time pain can increase and remain whenever WB, due hypersensitivity to pain

Question 3

Diagnosis

Answer 3

• Intrinsic muscle feel tight
• Palpation of medial aspect of heel
• Ultrasound helpful
• Lab test doesn’t show inflammation

Question 4

DDX

Answer 4

• Tib post tedinopathy
• Plantar fibroma
• Fat pad atrophy

Question 5

Treatment

Answer 5

• Stretching plantar fascia, gastroc and soleus
• Taping, low dye, inversion and plantar heel
• massage
• avoid flat shoes and barefoot walking
• intrinsic foot exercises
• decrease activity levels
• orthotics to offload and reduce stress on plantar fascia

Question 6

What is a plantar fibroma?

Answer 6

• Fibrous knot/nodule in the arch of the foot

- embedded within the plantar fascia