Doctors usually diagnose
plantar fasciitis based on a medical history and a
physical exam. Your doctor will check your feet for problems that affect how
your feet work (biomechanical factors), such as a high arch, flat feet,
abnormal gait, or tight
Achilles tendon or calf muscles. Your doctor will also
look for excessive tenderness and examine joint motion and looseness, muscle
and tendon function, nerve function, and blood circulation.
Your doctor will do a physical exam
to evaluate heel pain.
Findings of a physical exam may include the
In a normal exam there is no pain, tenderness, or
swelling in the heel area. Structure, function, and biomechanics are normal as
Abnormal findings that may point to plantar fasciitis
include the following:
Your doctor usually will start
nonsurgical treatment without further testing. X-rays and lab tests usually are
not needed if the medical history and physical exam point to plantar
fasciitis and your doctor does not suspect other problems.
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July 13, 2011
William H. Blahd, Jr., MD, FACEP - Emergency Medicine
& Barry L. Scurran, DPM - Podiatry and Podiatric Surgery
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