By Jeff Hall, Executive Editor | 4,181 reads | 0 comments | 11/03/2006
When we put our editorial calendar together each year, one of the struggles is putting together an entire theme issue of fresh perspectives on heel pain. It is one of the most common conditions that DPMs see in practice and plantar fasciitis reportedly accounts for over 1 million patient visits a year in the United States. Given the prevalence of the condition, we continue to address this topic in depth every November. Hopefully, the collection of feature articles in our 7th Annual Heel Pain Theme issue will stimulate discussion and debate.
By Paul R. Scherer, DPM | 19,554 reads | 0 comments | 11/03/2007
The world of orthotic therapy and foot biomechanics was somewhat shaken in 2006 when a randomized study found that “customized and prefabricated orthoses used in the trial (had) similar effectiveness in the treatment of plantar fasciitis.”1 Of course, there was a great deal more to this study than the one sentence but it sure stimulated discussion within podiatry and orthopedic surgery concerning the value of custom orthoses in comparison to prefabricated devices.
By Brian Fullem, DPM | 44,154 reads | 0 comments | 05/03/2006
Plantar fasciitis is often inaccurately referred to as “heel spur syndrome.” Clinicians should no longer use this terminology. Most of the time, the presence or absence of a plantar calcaneal spur has no effect on symptoms or treatment. The term fasciitis may also be a misnomer. Lemont studied the pathology of 50 patients who underwent fascial release surgery.1 The findings did not show any evidence of inflammatory cells within the fascia. The common finding was degeneration of the tissue.
The use of ultrasound can reportedly lead to a more pinpoint diagnosis of plantar heel pain and aid in facilitating more direct treatment of the causal pathology. Accordingly, this author examines the research on the subject, discusses how he has modified his approach with ultrasound-guided injections and offers a compelling case study on how the use of ultrasound helped put an end to 12 years of bilateral heel pain.
By Charles F. Peebles, DPM | 6,853 reads | 0 comments | 11/03/2007
Please click here for the full Continuing Medical Education article: http://www.naccme.com/program/n-216/ There may be a tendency to leap to a plantar fasciitis diagnosis when patients present with heel pain. However, this author emphasizes the importance of a thorough differential diagnosis. accordingly, he offers diagnostic insights on a variety of potential causes ranging from calcaneal spur fractures and neurogenic heel pain to systemic etiologies.
Lisa M. Schoene DPM, ATC, and Brian R. Kincaid, DC | 86,640 reads | 0 comments | 10/29/2008
Although podiatrists commonly encounter plantar fasciitis, injuries to the lateral band of the fascia are less frequently diagnosed. These authors offer anatomical insights, pertinent diagnostic pearls and key tips on treatment options.
We have seen quite an evolution over the years in regard to surgical procedures for plantar fasciitis. In the 1980s, the standard procedure was open heel spur resection for patients that had failed conservative treatment. Podiatrists released the fascia to gain access to the spur. Little consideration was given to the amount of fascia that was released. Frequently, the entire fascia was released in the open procedure.