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Plantar Fasciopathy (Fasciitis)

Information

Plantar Fasciitis/Fasciopathy is a common soft tissue condition characterised by pain on the plantar aspect of the heel in the region of the calcaneal insertion of the Plantar Fascia. The Plantar Fascia is a strong band which helps to provide support and stability to the foot. Pain commonly occurs on initial steps after a period of rest, particularly during initial weight bearing first thing in the morning. However Plantar Fasciitis/Fasciopathy is not limited to this and can occur after periods of rest as well as during activity. This pain can reduce during physical activity but often returns soon after ceasing activity and can be aggravated by long periods of time spent standing. 

Who to refer:

Any adult with plantar heel pain suspected to be plantar fasciitis who have failed to improve following self management measures.

Who not to refer:

Patients who are undergoing management for this condition with another service.

General Advice

  • Provide patient leaflet – Heel Pain (Plantar Faciitis/Fasciopathy) Self-management guide
  • Consider pain relief
  • Weight management advice if appropriate
  • If no improvements after following advice for 8 weeks refer or advise patient to self-refer to Podiatry Community Service

For Patients:

NHS Lothian Podiatry patient information leaflet Heel Pain (Plantar Fasciitis/Faciopathy) self management guide (nhslothian.scot)

For Health Professionals:

Heel pain | NHS inform