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Atypical Presentation of Plantar Fasciitis Secondary to Soft-Tissue Mass Infiltration

Alan Ng, DPM^*, Terrance Beegle, DPM and Andrea K. Rockett, DPM

^* Submitted during second-year residency, Harris County Podiatric Surgical Residency Program, 11231 Richmond Ave, Ste D101, Houston, TX 77082.
Private practice, Richmond, TX.
Attending Physician, Greater Texas Education Foundation, Houston, TX.

Abstract

This article describes a patient with plantar fascial pain who presented to the office of one of the authors. Physical examination and the patient’s description of the history of symptoms revealed classic signs and symptoms of plantar fasciitis. The patient was treated with numerous conservative modalities, including ultrasound, nonsteroidal anti-inflammatory medications, trigger-point injections, over-the-counter orthoses, and stretching exercises. When the pain was not relieved by these conservative measures, magnetic resonance imaging of the area was performed. Visualization of the insertional area of the plantar fascia revealed a mass inferior to, as well as infiltrated into, the plantar fascia. Surgical excision of the lesion resulted in complete elimination of the patient’s pain. (J Am Podiatr Med Assoc 91(2): 89-92, 2001)