Plantar fasciitis: a degenerative process (fasciosis) without inflammation

J Am Podiatr Med Assoc. May-Jun 2003;93(3):234-7. doi: 10.7547/87507315-93-3-234.

Abstract

The authors review histologic findings from 50 cases of heel spur surgery for chronic plantar fasciitis. Findings include myxoid degeneration with fragmentation and degeneration of the plantar fascia and bone marrow vascular ectasia. Histologic findings are presented to support the thesis that "plantar fasciitis" is a degenerative fasciosis without inflammation, not a fasciitis. These findings suggest that treatment regimens such as serial corticosteroid injections into the plantar fascia should be reevaluated in the absence of inflammation and in light of their potential to induce plantar fascial rupture.

MeSH terms

  • Adrenal Cortex Hormones / adverse effects
  • Adrenal Cortex Hormones / therapeutic use
  • Fascia / injuries
  • Fasciitis, Plantar / drug therapy
  • Fasciitis, Plantar / pathology*
  • Humans
  • Injections
  • Rupture / chemically induced

Substances

  • Adrenal Cortex Hormones