Analysis of Clinical Presentation and Investigative Findings in Plantar Fasciitis in Teritiary Care Hospital.

Abstract

Plantar fasciitis is common condition causing severe plantar pain, and the its rst classical striking symptoms and signs are severe plantar pain tenderness of the rst few steps after awakening and causing gait difculty. The early clinical, sonography and laboratory diagnosis conrmation parameters will denitely help in preventing complex plantar fasciitis and its chronicity leading to degeneration, fasciosis and sequalae. The key nding in sonovascular imaging incudes measurement of plantar fascia thickness, echogenicity vascularity and reactive uid. plantar fascial thichkness in mean normal is 0.25 cm and mean abnormal is 0.6 cm suggesting thickness. Above 0.25 cm with associated clinical ndings is signicant and the planning of treatment depends on stage of disease proving the early diagnosis has denite important role in prognosis and follow-up . Aim: To detect and diagnose and establish the Plantar fasciitis. Objectives: Primary objective: Early detection of plantar fasciitis for early intervention in management and preventing the chronicity and its sequelae. Secondary objective: Utilising the signs and symptoms and conrming with sonography, vascular doppler imaging and laboratory data about plantar fasciitis. Site of the study: Department of internal medicine, Department of Radiology and Department of orthopaedics, Apollo Hospitals, Greams road, Chennai-600006. Study period: March 2021 to March 2022 Inclusion criteria: Patients with early morning plantar pain and-clinically suspicious plantar facial minor repitative injury with and with out history of co morbidities. Exclusion criteria: fractures, ischaemic changes, infective abscess.