Background: Plantar fasciitis is the most common cause of heel pain in adults seen in primary care. Extended standing and running frequently cause strain on the plantar fascia. Plantar fasciitis outcome is generally good, about 80 percent of people have no symptoms after one year. Objectives: To determine prevalence rate and risk factors of plantar fasciitis in primary health care settings. Methods: A cross-sectional study was conducted on 270 patients with heel pain attending five randomly selected primary health care centers. An interview questionnaire was structured to recognize the socio-demographic data, medical history of heel pain and independent risk factors for plantar fasciitis. Diagnosis was based on history and clinical examination. Results: The prevalence of plantar fasciitis among 270 patients was 57.8%. 88 (56.4 %) of them were males, 104 (66.7 %) were obese, 91 (58.3 %) were wearing inappropriate shoes and 140 (89.7 %) had sedentary lifestyle. Logistic regression showed that sedentary lifestyle is the most significant variable associated independently to plantar fasciitis (OR = 38.371; 95% CI: 5.411-272.110 p 0.000) Conclusion: Plantar fasciitis is very common in primary health care settings. Obesity, sedentary lifestyle, wearing inappropriate shoes, frequent running and long standing were shown to be risk factors.

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A 43-year-old male presented with severe intermittent headaches since two years accompanied by multiple episodes of generalized seizures and left hand weakness. MRI scan and cerebral angiography confirmed the diagnosis of a giant serpentine cerebral aneurysm arising from the middle cerebral artery. The patient was admitted for a possible cerebral embolization after undergoing a Balloon Occlusion Test (BOT). Since he tolerated the occlusion test, he underwent coil embolization afterwards with successful occlusion followed by an uneventful recovery and no complications. Later on, the patient was discharged home in a stable and good general condition without any neurological deficits. A six-month angiography follow-up revealed a complete occlusion with no re-canalization of the coiled giant serpentine aneurysm. Therefore, we concluded that parent artery occlusion is a good and safe procedure providing that the patient tolerated both the occlusion and the hemodynamic stress tests.

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