Diagnostic Musculoskeletal Ultrasound in the Evaluation of the Plantar Fascia

The plantar fascia is composed of fibrous connective tissue that forms a band running from the calcaneal tubercle distally to the toes. One of its main roles is to provide passive support to the medial longitudinal arch on the sole of the foot. This support is compared to a tie-rod tension producer...

Full description

Saved in:
Bibliographic Details
Main Authors: Robert C. Manske, Chris Wolfe, Phil Page, Michael Voight
Format: Article
Language:English
Published: North American Sports Medicine Institute 2025-07-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.141177
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849424682643619840
author Robert C. Manske
Chris Wolfe
Phil Page
Michael Voight
author_facet Robert C. Manske
Chris Wolfe
Phil Page
Michael Voight
author_sort Robert C. Manske
collection DOAJ
description The plantar fascia is composed of fibrous connective tissue that forms a band running from the calcaneal tubercle distally to the toes. One of its main roles is to provide passive support to the medial longitudinal arch on the sole of the foot. This support is compared to a tie-rod tension producer during weight bearing. When loaded excessively during vocational or athletic activities, overuse in the form of plantar fasciitis can occur. Accurate diagnosis fascial injury is essential for appropriate treatment planning and optimizing patient outcomes. Diagnostic musculoskeletal (MSK) ultrasound offers a portable, real-time, and cost-effective alternative that is gaining traction in rehabilitation and sports medicine settings. MSK ultrasound has emerged as a valuable, non-invasive imaging modality for evaluating plantar fascia injuries including tissue hypertrophy or structural changes and damage at the calcaneal fascial enthesis. MSK ultrasound is adept at detecting changes in tendon tissue composition and integrity. Furthermore, this manuscript will review the utility of MSK ultrasound in evaluating the plantar fascial injury, including its anatomy, common injury patterns, sonographic techniques, and clinical implications for professional rehabilitation. By integrating MSK ultrasound into clinical practice, providers can improve the accuracy of diagnosis, enhance diagnostic confidence, monitor healing progression, and guide rehabilitation strategies to optimal patient outcomes.
format Article
id doaj-art-57c1659853be42d2aa91f461a41f2132
institution Kabale University
issn 2159-2896
language English
publishDate 2025-07-01
publisher North American Sports Medicine Institute
record_format Article
series International Journal of Sports Physical Therapy
spelling doaj-art-57c1659853be42d2aa91f461a41f21322025-08-20T03:30:03ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962025-07-0120710.26603/001c.141177Diagnostic Musculoskeletal Ultrasound in the Evaluation of the Plantar FasciaRobert C. ManskeChris WolfePhil PageMichael VoightThe plantar fascia is composed of fibrous connective tissue that forms a band running from the calcaneal tubercle distally to the toes. One of its main roles is to provide passive support to the medial longitudinal arch on the sole of the foot. This support is compared to a tie-rod tension producer during weight bearing. When loaded excessively during vocational or athletic activities, overuse in the form of plantar fasciitis can occur. Accurate diagnosis fascial injury is essential for appropriate treatment planning and optimizing patient outcomes. Diagnostic musculoskeletal (MSK) ultrasound offers a portable, real-time, and cost-effective alternative that is gaining traction in rehabilitation and sports medicine settings. MSK ultrasound has emerged as a valuable, non-invasive imaging modality for evaluating plantar fascia injuries including tissue hypertrophy or structural changes and damage at the calcaneal fascial enthesis. MSK ultrasound is adept at detecting changes in tendon tissue composition and integrity. Furthermore, this manuscript will review the utility of MSK ultrasound in evaluating the plantar fascial injury, including its anatomy, common injury patterns, sonographic techniques, and clinical implications for professional rehabilitation. By integrating MSK ultrasound into clinical practice, providers can improve the accuracy of diagnosis, enhance diagnostic confidence, monitor healing progression, and guide rehabilitation strategies to optimal patient outcomes.https://doi.org/10.26603/001c.141177
spellingShingle Robert C. Manske
Chris Wolfe
Phil Page
Michael Voight
Diagnostic Musculoskeletal Ultrasound in the Evaluation of the Plantar Fascia
International Journal of Sports Physical Therapy
title Diagnostic Musculoskeletal Ultrasound in the Evaluation of the Plantar Fascia
title_full Diagnostic Musculoskeletal Ultrasound in the Evaluation of the Plantar Fascia
title_fullStr Diagnostic Musculoskeletal Ultrasound in the Evaluation of the Plantar Fascia
title_full_unstemmed Diagnostic Musculoskeletal Ultrasound in the Evaluation of the Plantar Fascia
title_short Diagnostic Musculoskeletal Ultrasound in the Evaluation of the Plantar Fascia
title_sort diagnostic musculoskeletal ultrasound in the evaluation of the plantar fascia
url https://doi.org/10.26603/001c.141177
work_keys_str_mv AT robertcmanske diagnosticmusculoskeletalultrasoundintheevaluationoftheplantarfascia
AT chriswolfe diagnosticmusculoskeletalultrasoundintheevaluationoftheplantarfascia
AT philpage diagnosticmusculoskeletalultrasoundintheevaluationoftheplantarfascia
AT michaelvoight diagnosticmusculoskeletalultrasoundintheevaluationoftheplantarfascia