ChiroACCESS Clinical Review



Plantar Fasciitis: Diagnosis

This information is provided to you for use in conjunction with your clinical judgment and the specific needs of the patient.

Lead Author(s): 

Dwain M. Daniel, D.C.

  

How this evidence was rated:

Strength of Recommendation Taxonomy (SORT)



Published on

September 1, 2006

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Plantar fasciitis (PF) is a condition that is relatively easy to diagnose based on patient history, observation and physical examination. Surprisingly few, if any, studies have been performed to test the sensitivity and specificity of the diagnostic protocols for PF. Strength of recommendation ratings are primarily based on consensus and opinion. Since there is no information to the contrary, the scientific community apparently has accepted these protocols without additional investigation. It should be noted the diagnostic term plantar fasciitis is most likely an error in terminology as the condition does not appear to be inflammatory in nature but is usually a degenerative condition resulting in thickening of the plantar aponeurosis at the calcaneus (1).

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References

1. 

Aldridge T. Diagnosing heel pain in adults. Am Fam Physician 2004; 70(2):332-338



2. 

Paige NM, Nouvong A. The top 10 things foot and ankle specialists wish every primary care physician knew. Mayo Clin Proc 2006; 81(6):818-822.



3. 

Osborne HR, Breidahl WH, Allison GT. Critical differences in lateral X-rays with and without a diagnosis of plantar fasciitis. J Sci Med Sport 2006; 9(3):231-237.