Degenerative fasciosis (not true 'itis') of the plantar fascia origin at the medial calcaneal tubercle due to repetitive micro‑trauma. Classic history: sharp 'first‑step' pain on arising or after rest; eases with a few minutes of walking, recurs after prolonged standing. Risk factors: tight gastrocnemius–soleus, cavus or planus foot, prolonged standing, obesity, running/sudden training change. Exam: point tenderness at medial calcaneal tubercle; positive Windlass test (pain with 1st MTP dorsiflexion standing). Imaging: X‑ray may show heel spur but is non‑diagnostic; ultrasound shows thickened fascia (>4 mm) with hypoechogenicity; MRI only if atypical or recalcitrant. Treatment ladder: activity modification, calf/plantar fascia stretching, heel cups/orthoses, NSAIDs, night splints → ESWT/PRP or limited corticosteroid injection → surgery (partial plantar fasciotomy ± gastrocnemius recession) after ≥6–12 months failed conservative care.
What is the most common cause of heel pain in adults?
Which of the following is a classic symptom of plantar fasciitis?
What is the primary pathophysiological change in plantar fasciitis?
Which test is most useful in diagnosing plantar fasciitis?
What is the most consistent biomechanical risk factor associated with plantar fasciitis?
What imaging study is most appropriate for confirming a diagnosis of plantar fasciitis?
Which of the following treatment options is considered first-line for plantar fasciitis?
What is the role of corticosteroid injections in the treatment of plantar fasciitis?
Which of the following conditions is most likely to present with a burning sensation and tingling in the foot?
In plantar fasciitis, heel spur formation is considered to be:
