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KMID : 1239420130040010001
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Journal of Orthopaedic Pain Society
2013 Volume.4 No. 1 p.1 ~ p.8
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Plantar Heel Pain
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Choi Woo-Jin
Kwon Ji-Won
Lee Jin-Woo
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Abstract
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Plantar heel pain is a common problem without known etiology. Obesity, excessive foot pronation, excessive running, and prolonged standing are risk factors for developing plantar heel pain. Diagnosis is primarily based on history and physical examination. Patients may present with heel pain with their first steps in the morning or after prolonged sitting, and sharp pain with palpation of the medial plantar calcaneal region. Discomfort in the proximal plantar fascia can be elicited by passive ankle/first toe dorsiflexion. Use of ultrasonography and magnetic resonance imaging is reserved for recalcitrant cases or to rule out other heel pathology; findings of increased plantar fascia thickness and abnormal tissue signal the diagnosis of plantar fasciitis. Conservative treatments help with the disabling pain. Initially, patient-directed treatments consisting of rest, activity modification, ice massage, oral analgesics, and stretching techniques can be tried for several weeks. Extracorporeal shock wave therapy is a noninvasive treatment with a success rate comparable to surgery and a low complication rate. Surgery can be done endoscopically or open with similar longterm outcomes.
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KEYWORD
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Heel pain, Plantar fasciitis, Shock wave, Plantar fascia release
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