- Part 1 Introduction to musculoskeletal medicine
- Part 2 Structural pathology; dysfunction; pain
- Part 3 Regional disorders
- Chapter 23 Clinical examination
- Chapter 24 Investigative techniques
- Chapter 25 Musculoskeletal injections
- Chapter 26 Endoscopically determined pain sources in the lumbar spine
- Chapter 27 Regional somatic dysfunction
- Chapter 28 Thoracic outlet syndrome
- Chapter 29 Chest wall pain
- Chapter 30 The joints of the shoulder girdle
- Chapter 31 Structural disorders of the shoulder
- Chapter 32 Rehabilitation strategies—shoulder disorders
- Chapter 33 Upper limb disorders
- Chapter 34 The pelvis
- Chapter 35 Sacroiliac joint disorders
- Chapter 36 Structural disorders of the knee
- Chapter 37 Patellofemoral/extensor mechanism disorders
- Chapter 38 Soft tissue injuries at the knee
- Chapter 39 Superior tibiofibular joint
- Chapter 40 Exertional lower leg pain
- Chapter 41 Biomechanics of the foot and ankle
- Chapter 42 The ankle joint
- Chapter 43 The subtalar joint
- Chapter 44 Plantar fasciitis and heel pain
- Chapter 45 Tendinopathies and enthesopathies
- Chapter 46 Metatarsalgia
- Chapter 47 Podiatry (podiatric medicine and surgery)
- Part 4 Management strategies
(p. 478) Plantar fasciitis and heel pain
- Chapter:
- (p. 478) Plantar fasciitis and heel pain
- Author(s):
Bryan English
- DOI:
- 10.1093/med/9780199674107.003.0044
The fascial layers within the foot have several functions and consist of interdigitating fibrous tissue. The main fascial layer is the plantar aponeurosis, which consists of medial, lateral, and central portions. Only the central section is truly aponeurotic. The origin of this tissue, at the medial process of the medial calcaneal tuberosity, is the site of the most common type of plantar fasciitis. The fascia may also be inflamed elsewhere along its length, when it is painful on stretching with dorsiflexion of the toes. The insertion of the fascia is partly via the superficial stratum that inserts into the dermis (under and distal to the metatarsophalangeal joints) and partly via the deep stratum that inserts into the plantar ligaments of the metatarsophalangeal joints, the flexor tendon sheaths, and the periosteal layer of the proximal phalanges.
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- Part 1 Introduction to musculoskeletal medicine
- Part 2 Structural pathology; dysfunction; pain
- Part 3 Regional disorders
- Chapter 23 Clinical examination
- Chapter 24 Investigative techniques
- Chapter 25 Musculoskeletal injections
- Chapter 26 Endoscopically determined pain sources in the lumbar spine
- Chapter 27 Regional somatic dysfunction
- Chapter 28 Thoracic outlet syndrome
- Chapter 29 Chest wall pain
- Chapter 30 The joints of the shoulder girdle
- Chapter 31 Structural disorders of the shoulder
- Chapter 32 Rehabilitation strategies—shoulder disorders
- Chapter 33 Upper limb disorders
- Chapter 34 The pelvis
- Chapter 35 Sacroiliac joint disorders
- Chapter 36 Structural disorders of the knee
- Chapter 37 Patellofemoral/extensor mechanism disorders
- Chapter 38 Soft tissue injuries at the knee
- Chapter 39 Superior tibiofibular joint
- Chapter 40 Exertional lower leg pain
- Chapter 41 Biomechanics of the foot and ankle
- Chapter 42 The ankle joint
- Chapter 43 The subtalar joint
- Chapter 44 Plantar fasciitis and heel pain
- Chapter 45 Tendinopathies and enthesopathies
- Chapter 46 Metatarsalgia
- Chapter 47 Podiatry (podiatric medicine and surgery)
- Part 4 Management strategies