PLANTAR FASCITIS

SUMMARY

1. Four plantar foot muscles take their origin from the volar calcaneus: adductor hallucis, quadratus plantae, flexor digitorum brevis, and abductor digiti minimi.

2. Overload of these muscles can cause enthesitis & pain at the calcaneus, worse with the first few steps in the morning.

3. May be assoc. with calcaneal traction spur.

4. Management - resting night-splint, treatmnent of predisposing kinetic chain abnormalities, TA/TP exercises to strengthen the medial longitudinal arch.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].