Plantar fasciitis is a sometimes debilitating heel pain in both active and sedentary populations. The etiology of plantar fasciitis is thought to be due to repetitive or excessive loads on the plantar fascia. Although the name “fasciitis” implies an inflammatory process, recent research indicates a noninflammatory, degenerative process (1) with thickening of the heel aponeurosis (2) may be the cause. It is a common condition, accounting for more than 600,000 outpatient visits per year in the united States(3).
(1) Aldridge T. Diagnosing heel pain in adults. Am Fam Physician 2004; 70(2):332-338.; (2) Cole C, Seto C, Gazewood J. Plantar fasciitis: evidence-based review of diagnosis and therapy. Am Fam Physician 2005; 72(11):2237-2242.; (3) Riddle DL, Schappert SM. Volume of ambulatory care visits and patterns of care for patients diagnosed with plantar fasciitis: a national study of medical doctors. Foot Ankle Int 2004; 25(5):303-310.