28/07/2026
What happens in an Initial Consultation and Assessment of Plantar Fasciitis at Energy Medicine Stratford upon Avon?
A Structured Medical History will be required and any obvious trigger event for the plantar fasciitis, like a fall, or a change in exercise like couch to 5KM.
Most cases of Plantar Fasciitis do not have an easily identifiable trigger event or trauma.
Physical Examination Techniques
The physical examination aims to confirm the clinical suspicion of plantar fasciitis, assess biomechanical contributors, and exclude alternative diagnoses. Key components include inspection, palpation, range of motion, strength testing, functional assessment, and special tests.
Inspection of feet
🦶Gait observation: walking gait, altered foot strike, or compensatory patterns.
🦶Posture and foot type: Flat feet, high arches, or abnormal pronation/supination.
🦶Swelling, erythema, or bruising: Uncommon in plantar fasciitis; may suggest alternative issues pathology.
🦶Footwear assessment: Wear patterns, support, and fit.
Hands On
🦶Maximal tenderness at the heel of foot at the plantar fascia insertion is highly suggestive.
🦶Plantar fascia: Pressure along its length for focal or diffuse tenderness.
🦶Fat pad, calcaneus, and arch: Assess for atrophy, masses, or bony abnormalities.
Tinel’s sign: Pressure and movement over the tarsal nerve tunnel to assess for nerve irritation.
Range of Motion and Strength
🦶Ankle dorsiflexion: Limited range may contribute to plantar fascia strain.
🦶Midfoot motion: Assess for restriction or hypermobility.
Big toe extension: Evaluate for pain or limitation.
🦶Muscle strength: Test calf, internal foot, and peroneal muscles.
Functional and Gait Assessment
🦶Heel raise test: Assess for pain or weakness.
🦶Single-leg stance and squat: Evaluate balance and functional capacity.
🦶Gait analysis: Identify overpronation, altered stride, or compensatory mechanisms.
There is much more read HERE https://heelyourpain.com/what-happens-in-an-initial-consultation-and-assessment-of-plantar-fasciitis-at-energy-medicine-stratford-upon-avon/
treatment
A Structured Medical History will be required and any obvious trigger event for the plantar fasciitis, like a fall, or a change in exercise like couch to 5KM. Most cases of Plantar Fasciitis do not have an easily identifiable trigger event or trauma. Physical Examination Techniques The physical exam...
