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A Closer Look At Treating Plantar Fasciitis

By Jeff Hall, Executive Editor | 5,800 reads | 0 comments | 11/03/2005

   There is no doubt that podiatrists see quite a bit of heel pain. Plantar fasciitis accounts for 11 to 15 percent of all foot symptoms in adults, according to an article published in the New England Journal of Medicine last year. As Stephen Barrett, DPM, points out in his cover story, “A Guide To Neurogenic Etiologies” (see page 36), projected estimates indicate that greater than two million patients per year are diagnosed with heel pain in the United States.    However, despite the prevalence of this condition, there are complex anatomical considerations.

What Are The Best Orthotics For Plantar Fasciitis

Mark A. Caselli, DPM and Ellen Sobel, DPM, PhD | 606,404 reads | 6 comments | 12/03/2001

The irritation is the result of biomechanical deformities such as limb length discrepancy, gastrocsoleus equinus, and excessive foot or leg varus, producing midtarsal and subtalar hyperpronation. In turn, this pronation produces a stretch of the plantar fascia as well as unwanted pulling on the origin of the fascia (the medial calcaneal tubercle). The classic history of plantar fasciitis is marked by the insidious onset of sharp pain at the fascial insertion of the plantar surface of the anteromedial calcaneus.

Keys To Treating Plantar Fasciitis In Runners

Brian Fullem, DPM, FACFAS | 55,844 reads | 1 comments | 12/30/2009

Treating plantar fasciitis in this patient population can be particularly challenging. Accordingly, this author offers insights on initial conservative care, weighs in on the merits of orthotics, and reviews pertinent issues in addressing recalcitrant plantar fasciitis.

Why Orthotics Are Not The Answer For Plantar Fasciitis

Patrick DeHeer DPM FACFAS | 111,986 reads | 9 comments | 05/23/2011

There are approximately 2 million documented cases of plantar fasciitis per year in the United States. For most podiatrists, this is the most common foot pathology we see in our practices.1 The “sacred cow” in the podiatric community for plantar fasciitis has always been custom orthoses.

Assessing The Role Of Radiofrequency Nerve Ablation For Plantar Fasciitis

Adam Landsman, DPM, FACFAS, PhD | 45,433 reads | 0 comments | 10/26/2011

In recent years, radiofrequency nerve ablation has emerged as a potential modality for plantar fasciitis. Accordingly, this author details his experience in using radiofrequency nerve ablation, provides a closer look at the literature and compares the modality to other treatments for heel pain.

ESWT For Plantar Fasciitis: What Do The Long-Term Results Reveal?

Lowell Weil, Jr., DPM, MBA | 73,002 reads | 3 comments | 10/21/2011

Offering a closer look at the role of extracorporeal shockwave therapy (ESWT) in the armamentarium for chronic plantar fasciitis, this author reviews long-term research from randomized controlled trials, offers a compelling case study and assesses the cost-effectiveness of ESWT in comparison to surgical alternatives.

Is Low-Energy ESWT Better Than High-Energy ESWT For Plantar Fasciitis?

Lowell Weil Jr., DPM, MBA, FACFAS and David Zuckerman, DPM | 37,754 reads | 0 comments | 10/26/2009

   

Yes. Lowell Weil Jr., DPM, MBA, FACFAS cites emerging research on low-energy ESWT and says it can be a cost-effective treatment for plantar fasciitis and other conditions.

   When musculoskeletal extracorporeal shockwave (ESWT) was introduced in the United States with its first FDA approval in 2000, there was a great deal of controversy and posturing among manufacturers of ESWT technologies. Each company was determined to create an exclusive market for itself at the expense of its competition.

Can Diagnostic Ultrasound Help Us Break Free From Conservative Dogma About Plantar Fasciitis?

Stephen Barrett DPM FACFAS | 4,162 reads | 0 comments | 11/16/2011

Have you been thinking about the histological composition of plantar fascia lately? It haunts me every clinic day. Why? It’s because we know so much about it. Yet professionally, we have not integrated this knowledge fully, not even fractionally in the clinical arena like I know we can.

Reminding Patients About Soleus Muscle Stretching To Help Counteract Plantar Fasciitis

Jenny L Sanders DPM | 12,035 reads | 0 comments | 02/29/2012

An American Podiatric Medical Association (APMA) Podiatric Practice Survey of nearly 3,000 podiatrists found that plantar fasciitis/heel pain was the most commonly treated condition.1 A longtime hypothesis is that reduced ankle dorsiflexion is the most important risk factor for the development of plantar fasciitis.2 Decreased ankle dorsiflexion secondary to a tight Achilles tendon may lead to compensatory pronation of the foot, which can contribute to plantar fasciitis.3

Platelet-Rich Plasma: Can It Have An Impact For Plantar Fasciitis?

David J. Soomekh, DPM | 27,948 reads | 0 comments | 10/24/2012

Platelet rich plasma (PRP) has been in use for decades in various medical disciplines and recently has shown some promise in treating heel pain. This author discusses how PRP fits into his treatment regimen for chronic plantar fasciitis and offers a detailed guide to collecting and injecting PRP.