Plantar fasciopathy: risk factors, symptoms, and clinical tests
published in January - February 2017 - in Il Fisioterapista - issue n.1
Alessandro Ruggeri

This article focuses on plantar fasciopathy, itemizing the risk factors for its development, its most common symptoms, and the clinical tests that are useful for formulating a clinical diagnosis. The risk factors include overweight, prolonged use of safety footwear, tibiotarsal joint dorsiflexion deficit, and the practice of sports activities featuring running or walking. The key symptom is plantar heel pain, particularly with the first steps taken after getting out of bed in the morning. During the physical examination, it is important to look for any signs of pain at the level of the medial calcaneal tubercle and an eventual positive result on the windlass test, and to exclude other potential causes such as tarsal tunnel syndrome, fat pad atrophy or, in the presence of polyarthralgia, the suspicion of rheumatic diseases.