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Orthopedics
miscellaneous
plantar fasciitis
A 55-year-old woman presents to an outpatient clinic with a chief complaint of chronic, sharp right heel pain that is particularly severe with her first steps out of bed in the morning, gradually improving but recurring with prolonged standing or activity. She reports that the pain has been progressively worsening over the past six months and significantly impacts her daily ambulation. Her body mass index (BMI) is 31 kg/m2. Physical examination reveals exquisite tenderness upon direct palpation over the medial calcaneal tubercle. Passive dorsiflexion of the ankle and toes elicits increased pain along the medial plantar fascia. Imaging previously performed showed a prominent calcaneal spur. What is the most appropriate initial management strategy for this patient, and what potential complication might arise from prolonged, untreated plantar fasciitis?
| Lab Parameter | Value | Reference Range |
|---|---|---|
| Hemoglobin | 135 g/L | 120-150 g/L |
| White Blood Cell Count | 7.2 x 10^9/L | 4.0-11.0 x 10^9/L |
| Erythrocyte Sedimentation Rate (ESR) | 10 mm/hr | 0-20 mm/hr |
| C-Reactive Protein (CRP) | 1.5 mg/L | <5.0 mg/L |
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