This 2008 narrative review from JAAOS covers the full evaluation and management of plantar fasciitis — the most common cause of plantar heel pain — from anatomy and differential diagnosis through nonsurgical and surgical treatment options, including ESWT and endoscopic fasciotomy.
When a patient presents with medial calcaneal tubercle pain worst with first steps in the morning, exhaust the full conservative ladder — stretching (fascia-specific first), orthoses, NSAIDs, injections, and night splints.
Before considering surgery; if they're still symptomatic past 12 months, ESWT or partial fasciotomy (limited to <40% release) are your next steps.
This 2008 narrative review from JAAOS covers the full evaluation and management of plantar fasciitis — the most common cause of plantar heel pain — from anatomy and differential diagnosis through nonsurgical and surgical treatment options, including ESWT and endoscopic fasciotomy.
When a patient presents with medial calcaneal tubercle pain worst with first steps in the morning, exhaust the full conservative ladder — stretching (fascia-specific first), orthoses, NSAIDs, injections, and night splints.
Before considering surgery; if they're still symptomatic past 12 months, ESWT or partial fasciotomy (limited to <40% release) are your next steps.