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I have a client who is experiencing all of the symptoms associated with unilateral plantar fasciitis - pain on palpation of medial calcaneal tubercle, post static dyskinesia, limited dorsiflexion/tight calf musculature.
Ultrasound has showed no change in the structure of the plantar fascia thought which has thrown me.
GP has given a cortisone injection which helped slightly and client had little pain relief with low dye strapping and campbells rest. I have prescribed an eccentric calf stretching program (heel drops) which also hasnt provided symptom relief.
Is there anything other condition that may present this way?
i am hesitant to go down the path of orthoses/insoles as they have not responed to treatment thus far.
The latest Podiatry Today has the full text of this: A Guide To The Differential Diagnosis Of Plantar Fasciitis
Quote:
There may be a tendency to leap to a plantar fasciitis diagnosis when patients present with heel pain. However, this author emphasizes the importance of a thorough differential diagnosis. Accordingly, he offers diagnostic insights on a variety of potential
Differential diagnosis for heel pain
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