Plantar Fasciitis: Evidence-Based Management

Robert D. Glatter, MD, FAAEM


October 10, 2007

Plantar Fasciitis: Clinical Pearls

  • Plantar fasciitis is an injury of overuse and is unrelated to trauma.

  • The condition is due to microtears in the collagen fibers of the plantar fascia.

  • Plantar fasciitis represents a tendinosis, not an inflammatory condition.

  • Symptoms are due to fascial strain at the take-off phase of walking, not heel impact.

  • Clinicians should look for alternative causes of pain in adolescent and elderly patients.

  • The diagnosis is a clinical one in the majority of cases. Radiographs are of limited value.

  • Up to 85% of patients will improve, independent of the mode of therapy used, if at all.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.
Post as: