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Foot & Ankle
intermediate
X-Type

Plantar Fasciitis Management

Heel Pain

A 48-year-old overweight female nurse presents with 6 months of right heel pain. The pain is worst with the first steps in the morning and after prolonged standing at work. It improves somewhat after walking but worsens again at the end of the day. Examination reveals tenderness at the medial calcaneal tuberosity at the plantar fascia origin. Ankle dorsiflexion is limited to neutral with the knee extended. Radiographs show a small heel spur. Regarding plantar fasciitis:

Mark each as TRUE or FALSE

A

Plantar fasciitis is the most common cause of heel pain in adults, affecting approximately 10% of th...

B

Classic presentation includes "first-step" pain (post-static dyskinesia) that is worst in the mornin...

C

Heel spurs are the primary cause of pain and must be removed surgically; plantar fasciitis is primar...

D

First-line treatment is conservative (90% success rate with prolonged compliance) including stretchi...

E

Refractory cases may benefit from extracorporeal shock wave therapy (ESWT), platelet-rich plasma (PR...

Answer the questions to see explanations

Click T (True) or F (False) for each option