Suggested ORF Modifications
ICD 10 - M72.2
Plantar fasciitis is a common overuse injury felt at the bottom of the heel. Plantar fasciitis occurs when the plantar aponeurosis or the plantar fascia which supports the arch of the foot becomes irritated and inflamed. It’s common for patients with plantar fasciitis to also have heel spurs. Issues involving the plantar fascia usually revolve around poor biomechanics.
- Pain at the bottom of the heel
- Pain in the arch of the foot
- Pain increases after physical activity
- Pain increases early in the morning or when weight-bearing after prolonged periods of rest
- Pain is progressive over time
To confirm a diagnosis, the clinician will observe the patient’s past medical history, perform a physical examination and inquire about when pain is active during the day. X-rays and other imaging studies may be ordered to rule out or search for other possible conditions like bone spurs.
Plantar fasciitis can be treated conservatively. Conservative treatments include proper stretching of the calves, icing, avoiding barefoot walking, modifying physical activities and NSAIDs. After a few weeks and if little recovery is seen, orthotics, padding, shoe modifications, physical therapy and corticosteroid shots should be considered as treatment options to properly relieve pain and strengthen the necessary tissues.
In the majority of cases, surgery is entirely unnecessary. For a few patients, if heel pain continues for months, surgery can be considered an available option.