College of Massage Therapists of British Columbia (CMTBC) Practice Exam

What is a classic characteristic of plantar fasciitis?

1. Pain in the dorsum of the foot

2. Pain on weight bearing

3. Pain in plantar surface of calcaneus

4. Pain along the lateral aspect of the foot

The correct answer is: Pain in plantar surface of calcaneus

The classic characteristic of plantar fasciitis is pain in the plantar surface of the calcaneus. This condition is primarily associated with discomfort experienced at the bottom of the heel, specifically where the plantar fascia, a thick band of connective tissue running across the bottom of the foot, attaches to the heel bone (calcaneus). Individuals with plantar fasciitis often report a sharp pain that tends to be worse upon first standing after rest, such as getting out of bed in the morning or after sitting for prolonged periods. The pain generally lessens as they move around but can return after activities or after being on their feet for extended periods. This specific manifestation aligns with the nature of the problem, emphasizing the inflammation and irritation that occurs in the plantar fascia and its attachment to the calcaneus. Understanding this characteristic helps differentiate plantar fasciitis from other foot conditions. The other options point to different types of pain that are not typically associated with this condition, making it essential to recognize the hallmark symptom to aid in accurate diagnosis and treatment.