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Med Clin North Am. 2014 Mar;98(2):339-52. doi: 10.1016/j.mcna.2013.10.009. Epub 2013 Dec 10.

Plantar heel pain.

Author information

1
Division of Orthopaedic Surgery, Albany Medical College, 255 Patroon Creek Boulevard, Apartment 1214, Albany, NY 12206, USA. Electronic address: Andrewjrosenbaum@gmail.com.
2
Division of Orthopaedic Surgery, Albany Medical College, 255 Patroon Creek Boulevard, Apartment 1214, Albany, NY 12206, USA.
3
Clinical Prosthetics and Orthotics, 149 South Lake Avenue, Albany, NY 12208, USA.

Abstract

Plantar heel pain is a common complaint encountered by orthopedic surgeons, internists, and family practitioners. Although it is most often caused by plantar fasciitis, this is a diagnosis of exclusion. Other mechanical, rheumatologic, and neurologic causes must be considered first. The history and physical examination are typically all that is needed to make the proper diagnosis, but diagnostic adjuncts are available to assist the clinician. When plantar fasciitis is diagnosed, conservative modalities must be tried first. Corticosteroid injections and extracorporeal shock-wave therapy may also be used. After 6 months of failed conservative treatments, surgical intervention should be considered.

KEYWORDS:

Baxter nerve; Extracorporeal shock-wave therapy; First branch lateral plantar nerve; Heel spur; Plantar fascia; Plantar fasciitis; Plantar heel pain; Windlass mechanism

PMID:
24559879
DOI:
10.1016/j.mcna.2013.10.009
[Indexed for MEDLINE]
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