![]() ![]() If this treatment cannot improve the symptoms after 6–12 months, surgical treatment will be considered. Generally, these patients start with non-surgical or conservative treatment. Several treatment techniques have been conducted for patients with PF. Therefore, PF treatment is necessary to preserve QoL and prevent other potential problems. The lack of walking or weight-bearing activities could result in the loss of muscle strength and muscle flexibility, development of an inactive lifestyle, and increased body weight. As previously mentioned, foot pain from PF can reduce foot function and walking capacity, thus leading to decreased general health-related QoL. In addition, the adaptation mechanism of antalgic gait may present in individuals in the chronic phase or a non-painful episode of PF. They show significant decreases in cadence, gait speed, stride length, and increases in stride time. ![]() Patients with PF tend to walk more slowly than healthy individuals in order to avoid or reduce pain. ![]() Patients with PF who have painful episodes at the heel commonly avoid weight bearing on the symptomatic foot and are at risk for developing antalgic gait. Walking problems in patients may result in restrictions in function, working, social participation, and quality of life (QoL). The main problem in PF is heel pain during weightbearing activities, especially walking, which is the most essential function for daily living. In addition, diagnostic imaging may be used to exclude other causes of pain such as heel spurs or tissue inflammation. Diagnosis of PF can be made through the patient history, clinical symptoms, foot questionnaires, and objective assessments such as pain level, palpation, muscle tightness, joint range of motion, or muscle strength. In the US healthcare system, more than 2 million patients with PF annually receive assessments and management for their symptoms. Previous studies have reported that heel pain occurs in about 10% of the American population, and 80% of this group was diagnosed with PF. Pain can be reduced after continuing more steps or performing light activities, but it repeatedly returns with prolonged weight-bearing activities. The typical pain of PF is located at the medial tubercle of the calcaneus and normally occurs during the first few steps in the morning or after a prolonged non-weight bearing activity. Plantar fasciitis (PF) is a common foot disorder involving pain and gait problems. ![]()
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