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Plantar fasciitis in diabetic foot patients: risk factors, pathophysiology, diagnosis, and management

Published inDiabetes, Metabolic Syndrome and Obesity, vol. 13, p. 1271-1279
Publication date2020
Abstract

Plantar fasciitis (PF) is a common degenerative disorder and a frequent cause of heel pain, mostly affecting patients in their fourth and fifth decades. Diabetic patients are particularly at risk due to the presence of common risks and co-morbidities such as obesity or a sedentary lifestyle. The diagnosis of PF is mainly clinical. Imaging is not recommended for the initial approach. The initial management is conservative and should include physiotherapy, off-loading, stretching exercises, and nonsteroidal anti-inflammatory drugs. Glucocorticoid injections or surgery is an option at a later stage in recalcitrant cases. The overall management of PF does not differ between patients with diabetic foot problems and non-diabetic patients, although the details can differ. This narrative review summarizes the state of the art in terms of the risk factors, pathophysiology, diagnosis, assessment, and management of PF in diabetic patients.

Keywords
  • Diabetic foot
  • Diagnosis
  • Epidemiology
  • Management
  • Plantar fasciitis
Citation (ISO format)
GARIANI, Karim et al. Plantar fasciitis in diabetic foot patients: risk factors, pathophysiology, diagnosis, and management. In: Diabetes, Metabolic Syndrome and Obesity, 2020, vol. 13, p. 1271–1279. doi: 10.2147/DMSO.S184259
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Article (Published version)
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Journal ISSN1178-7007
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Creation10/08/2020 16:10:00
First validation10/08/2020 16:10:00
Update time06/01/2025 08:26:47
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