Plantar fasciitis is the most common foot condition and accounting for up to 15% of all adult foot complaints requiring professional care.
Increased plantar fascia thickness is associated with symptoms (altered pain levels) and altered compressive properties of the fat pad in those with plantar heel pain. Heel pain/plantar fasciitis is often see as a chronic condition, with symptom duration greater than 1 year.
Risk factors may include limited ankle dorsiflexion ROM, high BMI in nonathletic individuals, running, and work-related weight-bearing activities. The ICD category of plantar fasciitis and the associated ICF impairment-based category of heel pain (b28015 Pain in lower limb, b2804 Radiating pain in a segment or region).
History and physical examination findings should include:
Diagnostic ultrasound may be used to assess plantar fascia thickness.
These guidelines are not intended to serve as a standard of medical care, but should be considered as a guideline. Clinical procedure or treatment plans must be based on clinician experience and expertise and on the clinical presentation of the patient; the available evidence; the available diagnostic and treatment options; and the patient’s values, expectations, and preferences.
> From: Martin et al., J Orthop Sports Phys Ther 44 (2014-12-08 09:02:28) A1-A23 . All rights reserved to Orthopaedic Section, American Physical Therapy Association (APTA), Inc, and the Journal of Orthopaedic & Sports Physical Therapy®. Click here for the online summary.