Differential Diagnosis for Plantar Foot Pain
Single Most Likely Diagnosis
- Plantar Fasciitis: This is the most common cause of plantar foot pain, characterized by inflammation of the plantar fascia, a band of tissue that supports the arch of the foot. It is often associated with overuse, poor foot mechanics, or obesity.
Other Likely Diagnoses
- Morton's Neuroma: A condition where a nerve in the foot becomes irritated or compressed, leading to pain, typically between the third and fourth toes.
- Fat Pad Atrophy: A condition where the fatty tissue under the heel or ball of the foot becomes thinner, leading to pain and discomfort.
- Plantar Warts: Viral infections that cause lesions on the sole of the foot, which can be painful.
- Overuse or Repetitive Strain Injuries: Conditions such as stress fractures, tendonitis, or bursitis can cause plantar foot pain due to repetitive activities or overuse.
Do Not Miss Diagnoses
- Deep Vein Thrombosis (DVT): Although less common, DVT can cause foot pain and is a potentially life-threatening condition if not treated promptly.
- Osteomyelitis or Septic Arthritis: Infections of the bone or joint can cause severe foot pain and have serious consequences if not diagnosed and treated early.
- Diabetic Foot Ulcer: Individuals with diabetes are at risk for developing foot ulcers, which can be painful and lead to serious complications if not managed properly.
- Tumor or Cyst: Rarely, plantar foot pain can be caused by a tumor or cyst, which would require prompt medical attention.
Rare Diagnoses
- Tarsal Tunnel Syndrome: A condition similar to carpal tunnel syndrome but affecting the nerves in the foot, leading to pain, numbness, and tingling.
- Freiberg's Disease: A rare condition that affects the metatarsal bones in the foot, causing pain and stiffness.
- Kohler's Disease: A rare bone disorder that affects the navicular bone in the foot, causing pain and swelling.
- Charcot Foot: A condition that affects individuals with diabetes, causing destruction of the joints and bones in the foot due to nerve damage, leading to severe pain and deformity.