musculoskeletal and connective tissue disorders
Plantar Fasciitis
Diagnosis of Plantar Fasciitis
Pain reproduced by calcaneal pressure during dorsiflexion Plantar fasciitis is confirmed if firm thumb pressure applied to the calcaneus when the foot is dorsiflexed elicits pain. Fascial pain along the plantar medial border of the fascia may also be present. If findings are equivocal, demonstration of a heel spur on x-ray may support the diagnosis; however, absence does not rule out the diagnosis, and visible spurs are not generally the cause of plantar fasciitis symptoms. Also, infrequently, calcaneal spurs appear ill defined on radiographs, exhibiting fluffy new bone formation, suggesting Overview of Seronegative Spondyloarthropathies (eg, Other disorders causing heel pain can mimic plantar fasciitis: Throbbing heel pain, particularly when the shoes are removed or when mild warmth and puffiness are present, is more suggestive of Inferior Calcaneal Bursitis . Acute, severe retrocalcaneal pain, with erythema and warmth, may indicate Gout . Pain that radiates from the low back to the heel may be an S1 radiculopathy due to an L5 disk herniation. 