Describe the epidemiology.
One of the most common causes of foot pain
Peak incidence: 40–60 years of age
♀ > ♂
Plantar fasciitis is one of the most common causes of foot pain in adults.
List modifiable risk factors.
Repetitive, high-impact activities
High BMI (> 27 kg/m2)
Prolonged weight-bearing
Sedentary lifestyle
Intrinsic foot and/or calf muscle tightness
What are structural risk factors?
Limited ankle dorsiflexion
Foot deformities
Pes planus
Pes cavus
Leg length discrepancy
List clinical features.
Stabbing, nonradiating pain that affects the heel and sole of the foot (medioplantar surface) [1]
Worse first thing in the morning or after inactivity
Improves throughout the day
Worsens again towards the end of the day because of prolonged weight-bearing activity
Usually gradual onset
May be unilateral or bilateral [2]
On examination, there is tenderness at the calcaneal insertion of the plantar aponeurosis. [1]
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