Injury frequently occurs as a result of athletic activities, especially activities that involve running, jumping, or standing for extended periods. Athletic training regimens geared to increase endurance and speed (uphill running, plyometrics) increase the risk of plantar injury, as does indoor training on hard surfaces without supportive training shoes. Plantar fasciitis injury is common in work environments requiring standing, running, and heavy manual labor in the absence of shock-absorbing footwear.
Plantar fasciitis is characterized by foot and/or heel pain and thickened plantar fascia. Almost 1 in 3 cases present with bilateral plantar fasciitis. It can be associated with bone spurs. Adult women are twice as likely as men to develop plantar fasciitis.
Management includes symptomatic relief using nonsteroidal anti-inflammatory drugs, physical therapy, stretching exercises, night splints, supportive footwear, orthotics, corticosteroid injections, and adopting lifestyle changes such as improved diet, weight management, and an improved workout routine.
Plantar injury is reported to resolve in about 80% of patients within a year using nonsurgical therapies, although plantar pain tends to be chronic. A small percentage of patients will undergo surgery.
M72.2 – Plantar fascial fibromatosis
202882003 – Plantar fasciitis