Plantar Fasciitis
Age: years old
Gender:
HISTORY:
Presents with a - history of pain
Onset was , and occurred
Rated at / 10
Described as
Pattern
Worsening factors:
Alleviating factors: ,
Associated symptoms: *Try using right-click for negatives*
Contributing factors:
no history of: , ,
EXAM:
Foot:
Inspection: ,
Palpation: on
Range of motion:
- Dorsiflexion:
- Plantarflexion:
- Inversion:
- Eversion:
- Toe flexion:
- Toe extension:
Strength: , except on
Neurovascular: pulses , cap refill sec, sensation
Special tests:
- Tinel sign:
- Morton neuroma squeeze test:
Gait: ,
ASSESSMENT:
DDx: plantar fasciitis, heel spur, calcaneal tendinitis, tarsal tunnel syndrome, stress fracture of the foot, flat feet, metatarsalgia, Morton's neuroma, osteoarthritis, gout, septic arthritis, bursitis, rheumatoid arthritis, posterior tibial tendon dysfunction, fibromyalgia, peripheral neuropathy, lumbar radiculopathy
PLAN:
Investigations:
- X-ray of the foot
- MRI of the foot if severe or chronic
- Blood work: , ,
Treatments:
-
-
- Corticosteroid injection
- Rest and avoid weight-bearing activities
- Ice application
- Stretching exercises
- Physical therapy
- Orthotics
- Night splints
- Weight loss counseling
Further care:
- Referral to podiatrist
- Referral to orthopedic surgeon
- Referral to physical medicine specialist
- Follow-up in
- Return if pain worsens, if new symptoms develop such as redness or swelling, or if symptoms do not improve with treatment
HISTORY: Associated symptoms: EXAM: Foot: ASSESSMENT: PLAN: