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. 2014 Mar 27;49(3):213-7.
doi: 10.1016/j.rboe.2014.03.012. eCollection 2014 May-Jun.

Talalgia: plantar fasciitis

Ricardo Cardenuto Ferreira  1
Affiliations

Talalgia: plantar fasciitis

Ricardo Cardenuto Ferreira. Rev Bras Ortop. .

Abstract
in English, Portuguese

Plantar fasciitis is a very common painful syndrome, but its exact etiology still remains obscure. The diagnosis is essentially clinical, based on history-taking and physical examination. Complementary laboratory tests and imaging examinations may be useful for differential diagnoses. The treatment is essentially conservative, with a high success rate (around 90%). The essence of the conservative treatment is the home-based program of exercises to stretch the plantar fascia. Indications for surgical treatment are only made when the symptoms persist without significant improvement, after at least six months of conservative treatment supervised directly by the doctor.

A fascite plantar é uma síndrome dolorosa muito frequente, mas sua exata etiologia ainda permanece obscura. O diagnóstico é essencialmente clínico e tem como base a história e o exame físico. Exames complementares laboratoriais e de imagem podem ser úteis no diagnóstico diferencial. O tratamento é essencialmente conservador, com elevada taxa de sucesso (ao redor de 90%). A essência do tratamento conservador é o programa domiciliar com exercícios para alongamento da fáscia plantar. A indicação do tratamento cirúrgico somente é feita quando os sintomas persistem sem melhoria significativa, após pelo menos seis meses de tratamento conservador supervisionado diretamente pelo médico.

Keywords: Plantar fasciitis/diagnosis; Plantar fasciitis/etiology; Plantar fasciitis/therapy.

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Figures

Fig. 1
Fig. 1
Drawing showing the patient's position while carrying out the home-based exercise program that is recommended for treating plantar fasciitis. Note that in this position, the patient applies a continual force (dark arrow) and simultaneously promotes stretching of the Achilles tendon and eccentric contraction of the gastrocnemius–soleus complex, along with stretching of the plantar fascia (white arrows). Ten repetitions are recommended, with alternation of the positions of the feet (one in front and the other behind), each with a duration of 10 s. The patient is instructed to do at least three series of exercises over the course of the day (morning, afternoon and evening), for three to six weeks consecutively.
See this image and copyright information in PMC

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