The Orthobullets Podcast Foot & Ankle | Plantar Fasciitis
Jan 10, 2026
Discover the ins and outs of plantar fasciitis, from its root causes like obesity to the classic morning heel pain it brings. Delve into nonoperative treatments, including the effectiveness of orthoses and stretching, and learn why certain stretches are more beneficial. Explore advanced options like extracorporeal shockwave therapy and surgical techniques with details on potential complications. Real-life clinical vignettes bring the topic to life, illustrating the complexities of diagnosis and management.
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Classic Definition And Clinical Diagnosis
- Plantar fasciitis is inflammation of the plantar fascia at its calcaneal origin causing heel pain.
- Diagnosis is clinical with medial calcaneal tuberosity tenderness worsened by toe and foot dorsiflexion.
Key Risk Factors And Anatomy
- Risk factors include high BMI, decreased ankle dorsiflexion from calf tightness, and weight-bearing activities like running.
- The condition affects the posteromedial heel and occurs equally in men and women.
Pathophysiology And Local Contributors
- Chronic overuse produces microtears, recurrent inflammation, and periostitis at the plantar fascia origin.
- Nearby muscles share the medial calcaneal tubercle and may contribute to pain or nerve irritation.