02/01/2025
Plantar fasciitis is a common musculoskeletal condition characterized by inflammation of the plantar fascia, a thick band of connective tissue that spans the sole of the foot, connecting the heel bone to the toes. It is one of the leading causes of heel pain and is frequently encountered in clinical practice.
The condition is often caused by repetitive strain or microtrauma to the plantar fascia due to activities that place excessive stress on the heel and arch of the foot. Common risk factors include:
Overuse or repetitive activities
: Such as running, prolonged standing, or jumping.
Biomechanical abnormalities;
Flat feet, high arches, or improper gait mechanics.
Improper footwear:
Shoes lacking adequate arch support or cushioning.
-Obesity:
Increased weight places additional stress on the plantar fascia.
Age:
More common in individuals aged 40–60 years.
Presentation
Patients with plantar fasciitis typically report:
- Pain in the heel or along the arch, particularly during the first steps in the morning or after prolonged periods of inactivity.
- Pain that worsens after prolonged standing, walking, or exercise.
- Tenderness at the insertion point of the plantar fascia on the calcaneus.
Diagnosis is primarily clinical, based on the patient’s history and physical examination findings. Imaging, such as X-rays or ultrasound, may be used to rule out other conditions (e.g., heel spurs, fractures)