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Most cases of inferior heel pain are diagnosed as plantar fasciitis.1 Although the clinical presentations vary, the most common patient types that are affected are the obese female over 40 years of age and the athletic runner. Both types commonly complain of experiencing heel pain (which can be intense), during the first few minutes of a weight bearing stance. Most commonly this pain occurs after rising in the morning from bed and applying a compressive force on the heel. This pain is also repeated during the day once the patient has been seated for a prolonged period of time, and starts to ambulate. Pain eventually subsides as the foot or Achilles tendon stretches. The patient usually describes the pain as " a bruised bone" that is specifically located to the center of the heel. In athletes, plantar fasciitis is usually a consequence of usually an overuse injury. One or the most common contributing factors to this condition is the use of ill-fitting running shoes which lack support in the base. With respect to the proper shoe the American Orthopedic Foot and Ankle Society has developed guidelines for patients who want to avoid foot problems. Their advice with regard to the selection of shoes is very helpful in determining the right fit. Failure to stretch properly pre and post exercise is also a contributing factor with respect to the etiology of the condition. |
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