Choosing Wisely:

Don’t routinely order x-ray for diagnosis of plantar fasciitis/heel pain in employees who stand or walk at work.

Rationale and Comments: As the diagnosis of plantar fasciitis is in most cases evident from the worker’s history and physical examination, x-ray is not recommended for routine evaluations for plantar fasciitis except in cases where a serious underlying medical condition is suspected (e.g., fracture, infection)
Sponsoring Organizations:
  • American College of Occupational and Environmental Medicine
  • Sources:
  • American College of Occupational and Environmental Medicine guidelines
  • Disciplines:
  • Orthopedic
  • References: • Haas N, Beecher P, Easly M, et al. Ankle and foot disorders. In: Hegmann K, ed. Occupational Medicine Practice Guidelines. 3rd ed. Elk Grove Village, Ill: American College of Occupational and Environmental Medicine; 2011. p. 1182.

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