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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">N.N. Priorov Journal of Traumatology and Orthopedics</journal-id><journal-title-group><journal-title xml:lang="en">N.N. Priorov Journal of Traumatology and Orthopedics</journal-title><trans-title-group xml:lang="ru"><trans-title>Вестник травматологии и ортопедии им. Н.Н. Приорова</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0869-8678</issn><issn publication-format="electronic">2658-6738</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">702448</article-id><article-id pub-id-type="doi">10.17816/vto702448</article-id><article-id pub-id-type="edn">HJBPJU</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>SCIENTIFIC REVIEWS</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Научные обзоры</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Plantar fasciitis: clinical presentation, natural course, and diagnostic and treatment algorithm. A review</article-title><trans-title-group xml:lang="ru"><trans-title>Плантарный фасциит: клиника, эволюция, алгоритм диагностики и лечения. Обзор</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1391-0711</contrib-id><contrib-id contrib-id-type="spin">2795-4080</contrib-id><name-alternatives><name xml:lang="en"><surname>Karateev</surname><given-names>Andrey E.</given-names></name><name xml:lang="ru"><surname>Каратеев</surname><given-names>Андрей Евгеньевич</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Dr. Sci. (Medicine)</p></bio><bio xml:lang="ru"><p>д-р мед. наук</p></bio><email>aekarat@ya.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7179-8174</contrib-id><contrib-id contrib-id-type="spin">6699-8771</contrib-id><name-alternatives><name xml:lang="en"><surname>Nesterenko</surname><given-names>Vadim A.</given-names></name><name xml:lang="ru"><surname>Нестеренко</surname><given-names>Вадим Андреевич</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Cand. Sci. (Medicine)</p></bio><bio xml:lang="ru"><p>канд. мед. наук</p></bio><email>swimguy91@mail.ru</email><xref ref-type="aff" rid="aff2"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Nasonova Research Institute of Rheumatology</institution></aff><aff><institution xml:lang="ru">Научно-исследовательский институт ревматологии им. В.А. Насоновой</institution></aff><aff><institution xml:lang="zh"></institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Nasonova Research Institute of Rheumatology</institution></aff><aff><institution xml:lang="ru">Научно-исследовательский институт ревматологии им. В.А. Насоновой</institution></aff></aff-alternatives><pub-date date-type="preprint" iso-8601-date="2026-04-04" publication-format="electronic"><day>04</day><month>04</month><year>2026</year></pub-date><pub-date date-type="pub" iso-8601-date="2026-05-31" publication-format="electronic"><day>31</day><month>05</month><year>2026</year></pub-date><volume>33</volume><issue>2</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>448</fpage><lpage>460</lpage><history><date date-type="received" iso-8601-date="2026-02-10"><day>10</day><month>02</month><year>2026</year></date><date date-type="accepted" iso-8601-date="2026-03-07"><day>07</day><month>03</month><year>2026</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2026, Eco-Vector</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2026, Эко-Вектор</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="en">Eco-Vector</copyright-holder><copyright-holder xml:lang="ru">Эко-Вектор</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/" start_date="2027-05-31"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc-nd/4.0/</ali:license_ref></license></permissions><self-uri xlink:href="https://journals.eco-vector.com/0869-8678/article/view/702448">https://journals.eco-vector.com/0869-8678/article/view/702448</self-uri><abstract xml:lang="en"><p>Plantar fasciitis is a common musculoskeletal disorder associated with inflammatory and degenerative changes of the plantar fascia and characterized by intense heel pain. It affects approximately 10% of the population, occurs more frequently in women, and typically presents between 45 and 60 years of age. The main risk factors for plantar fasciitis include female sex, overweight and obesity, excessive mechanical load on the feet (related to sports activity, occupational strain, and congenital or acquired biomechanical abnormalities), and type 2 diabetes mellitus. Its primary clinical manifestation is heel pain of startup and mechanical character. The disorder typically follows a cyclical course and resolves favorably in 80%–90% of cases within 6–12 months after onset. The diagnosis of plantar fasciitis is established based on clinical presentation, medical history, and physical examination. Radiographic identification of a heel spur (inferior calcaneal osteophyte, which may be associated with plantar fasciitis) has limited diagnostic value, as do magnetic resonance imaging findings of plantar fascia and enthesis involvement. Plantar fasciitis may be a manifestation of systemic rheumatic diseases, particularly spondyloarthritis. Differential diagnosis requires exclusion of disorders such as foot osteoarthritis, plantar heel bursitis, Haglund deformity, Sever disease, plantar fibromatosis (Ledderhose disease), calcaneal fracture, plantar nerve neuropathy, tarsal tunnel syndrome, and L5–S1 radiculopathy. Treatment of plantar fasciitis as an independent condition includes orthotic management, physical therapy (with extracorporeal shock wave therapy being the most effective), nonsteroidal anti-inflammatory drugs, and local injection therapy with glucocorticoids, hyaluronic acid, platelet-rich plasma, and botulinum toxin type A.</p></abstract><trans-abstract xml:lang="ru"><p>Плантарный фасциит (ПФ) — часто встречающаяся патология скелетно-мышечной системы, связанная с воспалительными и дегенеративными изменениями подошвенного апоневроза и вызывающая интенсивные боли в области пятки. ПФ отмечается примерно у 10% людей, чаще у женщин, с дебютом в возрасте 45–60 лет. Ведущими факторами риска ПФ являются женский пол, избыточный вес, большая нагрузка на стопы (связанная с занятиями спортом, профессиональной деятельностью, врождёнными или приобретёнными биомеханическими нарушениями), сахарный диабет 2-го типа. Основное клиническое проявление ПФ — боль в области пятки стартового и механического характера. ПФ протекает циклично и обычно (в 80–90% случаев) благополучно купируется через 6–12 мес. после дебюта. Диагноз ПФ устанавливается путём оценки клиники, данных анамнеза и физикального исследования. Меньшее значение для диагностики имеет выявление при рентгенографии пяточной шпоры (остеофит нижней части пяточной кости, формирование которого может быть связано с ПФ), признаков поражения подошвенного апоневроза и его энтезиса по данным магнитно-резонансной томографии. ПФ может быть проявлением системных ревматических заболеваний, прежде всего спондилоартритов. Дифференциальная диагностика требует исключения таких заболеваний, как остеоартрит суставов стопы, подошвенный пяточный бурсит, деформация Хаглунда, болезнь Севера, подошвенный фиброматоз (болезнь Леддерхозе), перелом пяточной кости, невропатия подошвенных нервов, синдром тарзального канала и радикулопатия L5-S1. Лечение ПФ как самостоятельной нозологической формы включает ортезирование, физиотерапию (наиболее эффективна ударно-волновая терапия), применение нестероидных противовоспалительных препаратов и локальную инъекционную терапию с глюкокортикоидами, гиалуроновой кислотой, обогащённой тромбоцитами плазмой, ботулотоксином типа А.</p></trans-abstract><kwd-group xml:lang="en"><kwd>plantar fasciitis</kwd><kwd>heel spur</kwd><kwd>pathogenesis</kwd><kwd>clinical presentation</kwd><kwd>diagnosis</kwd><kwd>treatment</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>плантарный фасциит</kwd><kwd>пяточная шпора</kwd><kwd>патогенез</kwd><kwd>клиника</kwd><kwd>диагностика</kwd><kwd>лечение</kwd></kwd-group><funding-group><award-group><funding-source><institution-wrap><institution xml:lang="ru">Dr. Reddy's Laboratories Ltd.</institution></institution-wrap><institution-wrap><institution xml:lang="en">Dr. Reddy's Laboratories Ltd.</institution></institution-wrap></funding-source></award-group><funding-statement xml:lang="en">Publication of this article was supported by Dr. Reddy's Laboratories. 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