– Frequently found in non-athletic women, espescially middle aged.

– It is uncommon for the cause to be an acute trauma, it just suddenly happens (insidius onset) but can be brought on by change of shoes or training regiment.

– May be seen in combination with metatarsalgia, achilles tendinopathy or calcaneal bursitis.

– Pain for several days to several months in heel/midfoot arch.

– Increased pain when initially standing (first weight bearing in the morning is excruciating), walking, running . Seems to improve as activity continues, then gets worse at the end of the day or the next.

– Worse after short periods of rest (several hours); subsides after approx 5 min of walking around.

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