Plantar fasciitis: Diagnosis and diagnosis
How is the diagnosis of plantar fascitis made? Diagnosis of plantar fascitis occurs primarily through clinical examination, history taking and possible imaging diagnostics.
Main article: - Complete overview of plantar fasciitis
History taking / history
A history is when a clinician (doctor, chiropractor, etc.) talks to you about symptoms you have experienced and how the pain presents. Here, it will be asked, among other things, where the pain is, what aggravates and what relieves the pain. You will also be asked about other information that may seem irrelevant to you - including whether you smoke, alcohol intake, etc. But this is completely normal so that the clinician can form a comprehensive picture of your health condition and possible differential diagnoses.
The clinician will also ask you what we call diurnal variation. This means simply how the pain varies throughout the day from morning to evening. If it is worse in the evening then it is often related to what you do during the day in the form of stress.
Previous imaging (X-ray, MRI, CT, etc.) will also be requested if this is relevant to your problem. Previous treatment also gives an indication of what will be the next step in the treatment process further.
Clinical examination of plantar fascitis
Movement and walking: The clinician will often assess your gait. Here you look at factors such as weight loss, weight transfer and whether there are any clear signs of malfunction - for example lameness. Plantar fasciitis can often make it painful to walk on the foot, so in certain stages of the disorder there may be lameness on the affected foot.
Palpation: The clinician will then see and feel the actual injury. In plantar fasciitis, the pain can be attached to the front of the heel bone and further forward under the sole of the foot - but it is also important to examine the tightness in the leg and associated muscles that can affect the plantar fascia.
One of the few specialist tests to diagnose plantar fasciitis is called the Windlass test. This tells the therapist about how the sole of the foot and your foot move by stretching the plantar fascia in a special position. In the event of a positive result on this test, one can be closer to making the actual diagnosis.
Imaging
Normally, it will not be necessary to take an MRI examination to diagnose plantar fasciitis - but it is the case that many patients will not settle down until they have had a picture of the foot. MRI examination will show thickened plantar fascia and sometimes associated heel spurs (calcium formation due to tight plantar fascia) in the leading edge of the heel bone.
Below is a video explanation of what plantar fascia and heel spurs look like in imaging diagnostics:
Generally about self-employment
Plantar fasciitis is not as complicated as so many people want it to be. The plantar fascia has a certain load-bearing capacity - and if you exceed this over time, damage will occur. It's that simple.
One can contribute to improved foot posture (eg by supporting the crooked big toe) with hallux valgus support -which can make sure you walk more correctly on the foot. Another measure most people use is plantar fasciitis compression socks for increased blood circulation and faster healing of damaged tendon fibers. Those who are more severely affected should take advantage night shine.
Here you see one plantar fasciitis compression sock (click here to read more about it) which is specially designed to provide increased healing and improved blood circulation directly towards the actual damage in the tendon plate under the foot blade.
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Keywords (8 pieces): Plantar fascitis, Plantar fasciitis, plantar fasciosis, plantar tendinosis, clinical examination, diagnosis, diagnosis, how to diagnose plantar fascitis