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Plantar fasciopathy — MRCGP AKT MCQ

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EasyAnkle and FootPlantar fasciopathyMRCGP AKT

A 32-year-old runner has plantar heel pain that is worst with the first steps in the morning. Tenderness is maximal at the medial calcaneal tubercle and neurological examination is normal. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Plantar fasciopathy

First-step heel pain with focal medial calcaneal tenderness is typical of plantar fasciopathy. Neural symptoms would suggest tarsal tunnel syndrome. Management includes education, calf and plantar fascia loading, footwear advice and activity modification.

Reference: NICE CKS heel pain; BJSM