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Reexamining The Fundamentals In Treating Plantar Fasciitis (Or Plantar Fasciosis)

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.

Podiatrists have a huge selection of prefabricated foot orthoses (PFOs) if they choose to use them. Although there is a great deal of research validating effectiveness, no consensus exists for length, materials, design or rearfoot posting.

Do Prefab Orthoses Have A Place In Treating Plantar Fasciitis?

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.

Current Concepts In The Algorithm For Plantar Fasciitis

Patrick DeHeer, DPM, FACFAS, and Kellie Higgins, DPM | 21,280 reads | 0 comments | 10/24/2012

Given the common presentation of heel pain, these authors discuss their stepwise approach to treating plantar fasciitis, focusing on pain reduction and controlling biomechanical abnormalities.

Plantar Fasciitis: How To Maximize Outcomes With Conservative Therapy

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.

Diagnostic Ultrasound: Can It Have An Impact For Plantar Fasciitis?

Robert Kornfeld, DPM | 41,972 reads | 1 comments | 10/21/2010

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.

With a calcaneal stress fracture, pain is usually not as significant with plantar palpation but there may be increased pain intensity with a direct side-to-side compression of the heel as shown above.

A Guide To The Differential Diagnosis Of Plantar Fasciitis

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.

When Lateral Band Injury Leads To Plantar Fasciitis

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.

Plantar Fasciitis Surgery: Are We Going Full Circle?

Lawrence Fallat DPM FACFAS | 10,517 reads | 5 comments | 08/10/2009

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.

Point-Counterpoint: Recalcitrant Plantar Fasciitis: Is Fasciotomy Ever Necessary?

Stephen L. Barrett, DPM, MBA, and Kevin A. Kirby, DPM | 18,698 reads | 1 comments | 10/24/2011
This author says there is still a very important role for plantar fasciotomy in the treatment of recalcitrant plantar fasciopathy, citing high success rates and minimal complications.

By Stephen L. Barrett, DPM, MBA

Chronic Plantar Fasciitis: Is Cryosurgery The Answer?

By Lawrence Fallat, DPM | 54,808 reads | 0 comments | 05/03/2005

   Cryosurgery is the specialized field of using extremely low temperatures (controlled by a handheld probe) to destroy pathological tissue.