Plantar fascitis

Plantar fascitis is a common cause of pain in the heel.It occurs as a result of inflammation of the plantar aponeurosis at its attachment on the tuberosity of calcaneum. The pain is severe early in the morning and often improves with activity. On examination, there is marked tenderness over the medial aspect of the calcaneal tuberosity, at the site of the attachment of plantar fascia.

X-ray sometimes shows a sharp bone spur projecting forwards from the tuberosity of the calcaneum. Its significance is doubtful since it is also found in some cases without heel pain. Analgesics, the use of a heel pad and local induction of steroids brings relief in most cases.



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