Is ‘plantar heel pain’ a more appropriate term than ‘plantar fasciitis’? Time to move on

Video abstract During the last 300 years, a range of terms have been used to describe pain under the plantar aspect of the heel including gonorrhoeal heel, Policeman’s heel, heel spur syndrome, subcalcaneal pain, jogger’s heel, plantar fasciitis, plantar fasciopathy, plantar fasciosis and plantar heel pain. To facilitate effective communication between clinicians, improve patients’ understanding of their condition and allow for shared decision making, consistent and unambiguous terminology is required. Similar challenges with terminology have been recognised for other conditions, including groin pain experienced by athletes.1 The aim of this article is to provide a stimulus for discussion about the terminology used to describe pain under the heel and propose an appropriate term based on current knowledge. By doing so, we hope that we will set the scene for a future consensus on appropriate nomenclature for the condition of pain under the heel and its associated diagnostic criteria. Pain under the heel is typically characterised by pain located at the anteromedial aspect of the plantar heel during weight-bearing. It is usually …

[1]  Anthony G Schache,et al.  Terminology and definitions on groin pain in athletes: building agreement using a short Delphi method , 2015, British Journal of Sports Medicine.

[2]  Michael P Reiman,et al.  Examination of acetabular labral tear: a continued diagnostic challenge , 2013, British Journal of Sports Medicine.

[3]  Eric J Hegedus,et al.  Which physical examination tests provide clinicians with the most value when examining the shoulder? Update of a systematic review with meta-analysis of individual tests , 2012, British Journal of Sports Medicine.

[4]  Chad Cook,et al.  Best tests/clinical findings for screening and diagnosis of patellofemoral pain syndrome: a systematic review. , 2012, Physiotherapy.

[5]  C. Pasapula,et al.  Plantar fasciitis , 2012, Annals of the Royal College of Surgeons of England.

[6]  H. Menz,et al.  Diagnostic imaging for chronic plantar heel pain: a systematic review and meta-analysis , 2011, Journal of Foot and Ankle Research.

[7]  P. O'Donnell,et al.  Magnetic Resonance Imaging in Plantar Heel Pain , 2010, Foot & ankle international.

[8]  G. Moseley Reconceptualising pain according to modern pain science , 2007 .

[9]  N. Usen,et al.  Plantar fasciitis: a degenerative process (fasciosis) without inflammation. , 2003, Journal of the American Podiatric Medical Association.

[10]  P. Hecht,et al.  MR imaging of plantar fasciitis: edema, tears, and occult marrow abnormalities correlated with outcome. , 1999, AJR. American journal of roentgenology.