Plantar fasciitis

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[edit] Discussion of Plantar fasciitis

  • Plantar fasciitis is the most common cause of plantar heel pain.
  • Can arise either from the stress of repetitive trauma or as an enthesopathy in association with seronegative spondyloarthropathies (ankylosing spondylitis, Reiter's syndrome, psoriatic arthritis).
  • The stress-related form of plantar fasciitis is more common and generally occurs in obese middle-aged or elderly patients as a result of repetitive trauma from athletic activities, excessive job-related standing and walking, changes in walking surfaces, or changes in shoewear. It may also occur in young persons who engage in sports activities that involve running or jumping.

  • Pain on the undersurface of the heel on weight bearing is the principal complaint.
  • The pain is often worse when weight is borne after a period of rest (eg, in the morning) and eases with walking.

  • Treatment is conservative and consists of weight reduction in obese patients, rest, nonsteroidal antiinflammatory drug therapy, local steroid injection, and reduction of weight-bearing pressure
  • Surgical treatment of plantar fasciitis is reserved for cases in which conservative treatment fails.

[edit] Imaging Findings for Plantar fasciitis

  • Radiography may reveal a plantar calcaneal spur, although this entity may also be observed in asymptomatic adults.
  • MR imaging characteristics of plantar fasciitis include:
    • Fascial thickening that is often fusiform and typically involves the proximal portion and extends to the calcaneal insertion
    • Increased signal intensity of the proximal plantar fascia
    • Other MR imaging findings that indicate plantar fasciitis include edema of the adjacent fat pad and underlying soft tissues and limited marrow edema within the medial calcaneal tuberosity
  • STIR MR imaging is often the most sensitive in the detection of both fascial and perifascial edema, which appear as poorly marginated areas of high signal intensity.

[edit] Images

Patient #1: MR images demonstrate plantar fascitis

[edit] See Also

[edit] External Links

[edit] References for Plantar fasciitis