Orthopaedics
Plantar Fasciitis
Heel pain worst on first steps; conservative (stretches, orthotics, NSAID); refractory cases steroid / shockwave / surgery.
Source: BOA; AAOS
Step 1 of ~2
info
Recognise
Inflammation of plantar aponeurosis at calcaneal insertion. Most common cause of heel pain.
Features:
• Heel pain worst on first steps in morning / after rest ('first-step pain').
• Pain at medial calcaneal tubercle (insertion point).
• Worse after prolonged standing / activity.
• Tightness in calf / Achilles.
Examination: tenderness on palpation at heel; pain on dorsiflexion of toes (windlass test).
Risk: obesity, prolonged standing occupation, running, tight calf, flat / high-arched foot.
XR not routine; heel spur common but does NOT cause pain (incidental).
USS / MRI for atypical / refractory.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Diclofenac (Dysmenorrhoea / Post-gynaecological Procedure) · NSAID — Gynaecological Pain
- Ibuprofen (Orthopaedic Musculoskeletal Pain) · NSAID — Non-selective COX Inhibitor
- Dexketoprofen (Acute Musculoskeletal Pain) · NSAID — Non-selective COX Inhibitor (S-enantiomer of Ketoprofen)
- Paracetamol (Paediatric) · Analgesic / Antipyretic — First-Line Pain and Fever in Children
- Ranolazine · Refractory Stable Angina
- Protamine Sulphate (Heparin Reversal) · Heparin Reversal / Cardiac Surgery
Pathways
- Hip Fracture Pathway · NICE CG124; BPT
- Cauda Equina Syndrome · Society of British Neurological Surgeons; BOA — Best Practice
- Knee Soft Tissue Injury (ACL / MCL / Meniscus) · BOA; Royal College of Surgeons
- Shoulder Dislocation · BOA; RCEM
- Scaphoid Fracture · BOA; BSSH
- Pelvic Fracture · BOA; ATLS; NICE NG39
Decision support only. Always apply local guidelines and clinical judgement.