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Plantar fasciitis or plantar heel pain is a disorder of the plantar fascia, which is the connective tissue that supports the arch of the foot. [2] It results in pain in the heel and bottom of the foot that is usually most severe with the first steps of the day or following a period of rest.
A plantar fascial rupture, is a painful tear in the plantar fascia. The plantar fascia is a connective tissue that spans across the bottom of the foot. [1] The condition plantar fasciitis may increase the likelihood of rupture. [2] A plantar fascial rupture may be mistaken for plantar fasciitis or even a calcaneal fracture.
Plantar fasciitis is an often painful degenerative process of the plantar fascia. Calcaneal spur (heel spur) is a small calcified bone extension ( osteophyte ) located on the inferior aspect of the calcaneus or on the back of the heel at the insertion of the Achilles tendon.
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The plantar fascia extends from the heel bone to the toes, and helps support the arch of the foot. [22] Plantar fasciitis is a common cause of heel pain and affects about two million people in the United States. Though once considered an inflammatory condition, plantar fasciitis is now characterized as a degenerative pathology.
People who have high longitudinal arches or a cavus foot [7] tend to walk and stand with their feet in a supinated position where the foot inverts or rolls outward. High arches can also cause plantar fasciitis as they cause the plantar fascia to be stretched away from the calcaneus or heel bone.