Sport related plantar fasciitis. Current diagnostic and therapeutic advances.
Plantar fasciitis is the most common diagnosis for pain in the inferior aspect of the heel among runners, accounting for 10% of injuries that occur in connection with running. The etiology of pain is multifactorial. The aim of the present study is to report our experience in the treatment of plantar fasciitis in athletes and compare our diagnostic strategy and treatment modalities with the current practice.


METHODS
We treated 32 athletes with plantar fasciitis from 1997-2002. The diagnostic procedure included detailed history, clinical examination and imaging techniques. Conservative treatment consisted of anti-inflammatory drugs, stretching exercises, suitable training routines and special orthotic insoles, which offer a good chance of complete resolution of symptoms. Surgical fasciotomy should be reserved for use in patients in whom conservative measures have failed.


RESULTS
Conservative treatment consisting of rest, anti-inflammatory medications, stretching exercises and special orthotic insoles was efficient in 26 patients (81%), while only 6 (19%) had to be treated surgically.


CONCLUSIONS
Plantar fasciitis is a common disorder among athletes. Patient's history, clinical examination and common imaging techniques help to make the correct diagnosis. The patient should be treated conservatively at first and only in severe cases surgically.
Filippou
Dimitrios K
DK
Department of Functional Anatomy and Sports Medicine, University of Athens, Greece. d_filippou@hotmail.com
Kalliakmanis
Alkiviadis
A
Triga
Argiro
A
Rizos
Spiros
S
Grigoriadis
Emilios
E
Shipkov
Christo Dimitrov
CD
D000328:Adult; D001265:Athletic Injuries / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D003937:Diagnosis, Differential; D036981:Fasciitis, Plantar / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D012420:Running / Q000502:physiology*; D016896:Treatment Outcome