Plantar fasciitis is very common and sometime disabling condition1 orthopaedic surgeon deals with in clinical practice in Pakistan. I see commonly plantar fasciitis in people with high basal metabolic index. Other risk factors include limited ankle dorsiflexion, flatfoot deformity and prolonged work-or activity-related weight bearing. These patients complain of painful heel on first ambulation in the morning. Planter fascitiis is initiated by excessive tensile strain within the fascia during repetitive loading producing microscopic tears and an acute inflammatory response.
Planter fascitis, obesity,endoscopic plantar fasciotomy, extracorporeal shockwave therapy