Management of Symptomatic Plantar Fasciitis

Plantar fasciitis is one of the most common causes of heel pain. Plantar fasciitis occurs from increased stress on the plantar aponeurosis as a result of progressive, repetitive microtears, and degeneration. Plantar fasciitis is largely a clinical diagnosis based on clinical examination; thus using history and physical examination findings. Initial therapy involves addressing of possible modifiable disease factors. Surgical management of plantar fasciitis is considered after an unsuccessful course of nonoperative management, with open or endoscopic release. This article reviews the diagnostic and treatment management for patients with symptomatic plantar fasciitis.