A guide to the recognition and treatment of plantar fasciitis
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A guide to the recognition and treatment of plantar fasciitis

Arpit Jariwala Clinical lecturer, University Department of Orthopaedics and Trauma Surgery, TORT Centre, Ninewells Hospital, Dundee, Scotland
David Bruce General practitioner, Princess Street Surgery, Dundee, Scotland
Amar Jain Consultant orthopaedic surgeon, Department of Orthopaedics and Trauma Surgery, Ninewells Hospital, Dundee, Scotland

Arpit Jariwala, David Bruce and Amar Jain outline the diagnosis and management options for this painful foot condition

A common foot disorder plantar fasciitis presents with heel pain that occurs on weight bearing usually after a period of inactivity. The discomfort is felt at the tender spot located posteromedially at the insertion of the plantar fascia with deep pressure. Plantar fasciitis is mainly a clinical diagnosis principally made on history and examination alone. It is usually a self-limiting condition which mostly resolves with non-operative management but can take up to 12 to 18 months before it completely settles down. Management normally involves non-operative measures and rarely requires surgery. Newer, minimally invasive treatments are promising but long-term trials are awaited.

Primary Health Care. 21, 7, 22-24. doi: 10.7748/phc2011.

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