Plantar fasciitis

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This is an uncommon cause of hindfoot pain. It emanates from the plantar aspect of the heel where the plantar muscles and fascia arise from the os calcis. It presents as a sharp stabbing pain, particularly on weight bearing and can cause considerable discomfort. Clinically, there is an area of localized tenderness on the plantar aspect of the heel. Radio -graphically, there may be a plantar calcaneal spur, however this may be a coincidental finding. Underlying treatment usually involves neoprene heel inserts for the footwear, injections of local anaesthetic and steroid into the tender area and if these measures fail, surgical release of the plantar fascia of the os calcis.

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