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OrthoVellum

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Foot & Ankle
intermediate
X-Type

Plantar Fasciitis Windlass Mechanism

Foot Pathology

A 48-year-old overweight office worker presents with 6 months of right heel pain. The pain is worst with the first steps in the morning and after prolonged sitting, improving with walking but returning after prolonged activity. Examination reveals tenderness at the medial calcaneal tuberosity with pain reproduced by dorsiflexing the toes. There is limited ankle dorsiflexion with the knee extended. Regarding plantar fasciitis:

Mark each as TRUE or FALSE

A

Plantar fasciitis involves degeneration (fasciosis) rather than inflammation of the plantar fascia o...

B

Classic presentation includes "start-up" pain (first steps in morning or after rest, improves with w...

C

Plantar fasciitis is primarily an inflammatory condition; the windlass mechanism describes how toe p...

D

First-line treatment includes stretching (especially gastrocnemius-soleus and plantar fascia), NSAID...

E

Second-line treatments include extracorporeal shockwave therapy (ESWT - stimulates healing response,...

Answer the questions to see explanations

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