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When Is Pain On Bottom Of Foot Not Plantar Fasciitis

Brandt R Gibson, DPM
Podiatrist, Neuropathy Doctor, Father of 11 and Founder of Mountain West Foot & Ankle Institute
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On a daily basis, I have patients enter our office complaining of "Plantar Fasciitis".  Sometimes they are correct, but there are many entities that cause pain to the bottom of the foot that are not caused by an inflammed plantar fascia.  I therefore felt it was important to indicate what other conditions should be considered:

KEY:  Plantar Fasciitis will typically present as pain to the heel on the bottom of the foot and may extend some into the arch but will not extend to the ball of the foot.

  • Children's Foot Pain:  Plantar Fasciitis is almost never seen in children because of the increased elasticity of their tissues.
  • Arch Pain Extending To Ankle:  This is commonly a problem called Posterior Tibial Tendon Dysfunction or Tendonitis of Posterior Tibial Tendon.  As such, the problem is treated quite differently.
  • Heel Pain In Back Of Heel:  Usually caused by spurring in this area or Achilles Tendonitis.
  • Ball of Foot Pain:  This may be related to sesamoiditis or fracture, metatarsalgia (pain to metatrsal bones), fractures, pre-dislocation syndrome or neuromaBunion abnormalities or hallux limitus may also cause pain to this area.
  • Skin Lesions or Masses
  • Fractures
  • Sprains

So just becaues you have pain in the foot, don't assume it is Plantar Fasciitis.  It is recommended that this condition be evaluated and treatment options provided.

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