Abstract
INTRODUCTIONIn this article we look at the aetiology of plantar fasciitis, the other common differentials for heel pain and the evidence available to support each of the major management options. We also review the literature and discuss the condition.METHODSA literature search was performed using PubMed and MEDLINE®. The following keywords were used, singly or in combination: ‘plantar fasciitis’, ‘plantar heel pain’, ‘heel spur’. To maximise the search, backward chaining of reference lists from retrieved papers was also undertaken.FINDINGSPlantar fasciitis is a common and often disabling condition. Because the natural history of plantar fasciitis is not understood, it is difficult to distinguish between those patients who recover spontaneously and those who respond to formal treatment. Surgical release of the plantar fascia is effective in the small proportion of patients who do not respond to conservative measures. New techniques such as endoscopic plantar release and extracorporeal shockwave therapy may have a role but the limited availability of equipment and skills means that most patients will continue to be treated by more traditional techniques.
Highlights
Anatomy and function of the plantar fasciaThe plantar fascia is a broad band of connective tissue that supports the arch of the foot
In this article we look at the aetiology of plantar fasciitis, the other common differentials for heel pain and the evidence available to support each of the major management options
Lemont et al looked at 50 cases of plantar fasciitis that had been treated with heel spur surgery and failed to find histological evidence of inflammation.[7]
Summary
The plantar fascia is a broad band of connective tissue that supports the arch of the foot. It includes a thick central component and thinner medial and lateral components. The plantar fascia provides a windlass effect on the sole of the foot and helps maintain the longitudinal arch. It attaches proximally to the medial tubercle of the calcaneus. It divides into five digital bands that insert to the base of the periosteum of the proximal phalanx of each toe and the metatarsal heads. Fibres from the plantar fascia blend in with the
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: The Annals of The Royal College of Surgeons of England
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
