Widespread Pressure Pain Hypersensitivity in Musculoskeletal and Nerve Trunk Areas as Sign of Altered Nociceptive Processing in Unilateral Plantar Heel Pain

Plantar heel pain is a foot condition commonly treated by healthcare providers16. Subjects with this condition report insidious sharp pain under the plantar surface of the heel, usually spreading from the medial border of the plantar fascia to its insertion at the medial tuberosity of the calcaneus1. The pain increases in the morning with the first step after getting out of bed, after prolonged periods of inactivity and/or at the beginning of a workout3. Due to the presence of degenerative changes and the absence of inflammation in the plantar fascia14, it has been proposed that the proper term for this pain condition is plantar fasciopathy22 or plantar heel pain15.

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