How is Plantar Fasciitis diagnosed?
There are many ways to assist in diagnosis of Plantar Fasciitis. The most important is a understanding the patient’s medical history and conducting a physical exam. When discussing a patient’s medical history, the majority of the time patients will describe a tell tale sign of plantar fasciitis, known as Post Static Dyskinesia. Post Static Dyskinesia is when a patient experiences the most significant pain while taking the first step of the morning, or after long periods of rest. Usually, with Post Static Dyskinesia the pain subsides after a few minutes.
Post Static Dyskinesia happens because while the plantar fascia is off weight bearing, for example when sleeping, it contracts, and that first initial steps aggressively pulls the contracted fascia partially away from the bone, causing pain and inflammation. Several days of repeated irritation and the inflammation builds up and debilitating pain can result. If you believe you’re suffering from Plantar Fasciitis and live in New York City, schedule a consultation with the leading podiatrist at City Podiatry.
Post static dyskinesia is a tell tale sign of plantar fasciitis. In addition to discussing the patient’s medical history, the podiatrist will conduct a physical exam. The physical exam will rule out the many alternative possibilities of heel pain. Your podiatrist at City Podiatry will look at the structure of the foot, and press on the inner most prominence of the heel. Eliciting pain when this is done helps in our diagnosis.
City Podiatry also use other modalities to diagnose Plantar Fasciitis like x rays and an ultrasound. X rays will rule out a possible fracture or identify a heel spur. An ultrasound can measure the thickness of the plantar fascia where it inserts into the bone. The resulting measurement can be an indicator of plantar fasciitis.