Please enable JavaScript.
Coggle requires JavaScript to display documents.
Plantar fasciitis - Coggle Diagram
Plantar fasciitis
-
-
Diagnosis
-
Signs: tenderness of palpation of the plantar heel area, limited ankle dorsiflexion range, positive Windlass test, tightness of the Achilles tendon, an antalgic gait (abnormal walking to avoid pain) or limping
-
If clinical features of plantar fasciitis are absent or inconsistent, consider an alternative diagnosis.
Characteristic symptoms: initial insidious onset of heel pain, intense heel pain during the first steps after waking or after a period of inactivity with relief upon initiation of movement, pain that reduces with moderate activity, but worsens later during the day or after long periods of standing or walking.
If the diagnosis is uncertain, referral to a podiatrist or orthopaedic surgeon for further investigation
Ask about the heel pain, general health and physical activitiy
Management
If symptoms causing significant impact on the person and short-term relief of the symptoms is required, consider injection of the plantar fascia with corticosteroid
Refer people with mild symptoms to a podiatrist or physiotherapist if self-care advice and self-physiotherapy have not been effective after a few months.
Advice on measure of symptoms relief - simple analgesia such as paracetamol/NSAIDs. Advise the person to apply and icepack for 15-20 minutes and recommend self-physiotherapy to stretch the plantar fascia and relief symptoms.
Give self-care advice to relieve foot pain, promote healing of the fascia, and/or prevent future episodes - rest the foot where possible, wear shoes with good arch support and cushioned heels, avoid walking barefoot, consider buying insoles and heel pads and lose weight if appropriate.
Give information on plantar fasciitis - most recover within a year, provide patient information
Definition: Plantar fasciitis is a condition which there is persistent pain associated with chronic degenerative and reparative processes affecting the origin of the plantar fascia and surrounding peri-fascial surfaces. The exact cause of plantar fasciitis is unknown. However, it is believed to be multifactorial, with abnormal biomechanics and delayed healing as likely contributors