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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.
A 55-year-old overweight woman presents with a three-month history of pain in her right inferior heel. The pain is worse on taking her first steps in the morning. The physical examination is normal except for nonspecific tenderness in the region of the medial calcaneal tubercle. How should the patient be evaluated and treated?
The Clinical Problem
Epidemiologic Features
Plantar fasciitis, reportedly the most common cause of pain
Pathological Features
Risk Factors
Clinical Course
Strategies and Evidence
Clinical Diagnosis
Imaging
Treatment
Physical Therapy
Orthotic Devices
Splinting and Walking Casts
Antiinflammatory Agents
Extracorporeal Shock-Wave Therapy
Surgery
Prevention
Areas of Uncertainty
Guidelines
Conclusions and Recommendations
Source Information
From the Department of Clinical Epidemiology, Cabrini Hospital; and the Department of Epidemiology and Preventive Medicine, Monash University both in Melbourne, Vic., Australia.
Address reprint requests to Dr. Buchbinder at Cabrini Medical Centre, Suite 41, 183 Wattletree Rd., Malvern, VIC 3144, Australia, or at rachelle.buchbinder@med.monash.edu.au.
Related Letters:
Plantar Fasciitis
Rompe J. D., Buchbinder R.
Extract |
Full Text |
PDF
N Engl J Med 2004;
351:834, Aug 19, 2004.
Correspondence
This article has been cited by other articles:
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