Should we treat plantar heel pain and Achilles tendinopathy simultaneously?

Well, this IS an interesting question, because the literature is not conclusive about the actual anatomical link between the two structures. The following paper may well give us a couple of clinical waypoints to get us on course to correct treatment and rehab.

So.. what we do know about plantar heel pain, or call it plantar fasciitis if you must, is that one of the clinical signs is an insertional thickness of 4mm or greater. That is, if the insertional thickness is 4mm or more, clinically that individual HAS plantar fasciitis.

Recently this has been questioned, but for the moment, let's run with that.

Simon Bartold
Director of Bartold Clinical