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

Stephen Barrett DPM FACFAS | 4,179 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.

Resistant Plantar Fasciitis: Why We Should Opt For A Gastrocnemius Recession Before Even Considering A Plantar Fasciotomy

Patrick DeHeer DPM FACFAS | 13,963 reads | 2 comments | 11/22/2011

It is a rare occasion in one’s professional career to experience a paradigm shift in philosophy, even if it is on just one topic. Plantar fasciitis is the most common condition I see on a daily basis. Up to 85 percent of the time, I am able to treat it conservatively. For the past 20 years, when it came to patients who did not respond to conservative treatment or did not have associated nerve entrapment, I have done a plantar fasciotomy.

The grid pattern on the foot indicates the point of greatest tenderness in relation to plantar fascia pain. Use of a 0.062 K-wire or 18-gauge needle to penetrate through the skin and fat to the level of fascia.

A Closer Look At A New Algorithm For Treating Plantar Fasciitis

By Babak Baravarian, DPM, and Bora Rhim, DPM | 21,307 reads | 0 comments | 11/03/2007

In the United States, at least 10 percent of the population experiences heel pain secondary to plantar fasciitis. Reportedly, 600,000 outpatient visits to medical professionals a year are due to plantar fasciitis.1 According to a 2003 study, plantar fasciitis frequently occurs in people who are on their feet most of the day, those who are obese and those who have limited ankle dorsiflexion.2

Do Advances In Plantar Fasciitis Treatment Hold Up To Scientific Scrutiny?

Allen Jacobs DPM FACFAS | 14,328 reads | 7 comments | 04/27/2010

I am constantly amazed at the variety of treatment modalities that are effective for plantar fasciitis. In fact, I am amazed when a modality exists that is not effective for plantar fasciitis. Just think about all that you learn at conferences, see in exhibit halls and read in non-peer reviewed journals. You would have to be an idiot not to be able to cure plantar fasciitis.

Preventing Complications Of Plantar Plate Repair

Erin E. Klein, DPM, MS, FACFAS and Lowell Weil, Jr., DPM, FACFAS | 2,532 reads | 0 comments | 08/23/2017

Sharing insights from their experience as well as the emerging literature on plantar plate surgery, these authors examine current controversies over the alleged association between second metatarsal length and plantar plate pathology, review the benefits of the dorsal approach and offer step-by-step pearls to help thwart potential complications.

A Closer Look At Alternative Therapies For Plantar Fasciopathy

Bob Baravarian, DPM, and Evelyn G. Heigh, DPM | 2,779 reads | 0 comments | 10/24/2017

Although most patients can attain relief from heel pain through conservative means, some will require alternative treatments. These authors share their experience with plantar fasciopathy treatments such as radiofrequency microdebridement, platelet-rich plasma and cryopreserved human amniotic membrane.

Understanding The Biomechanics Of Plantar Plate Injuries

Kevin A. Kirby, DPM | 9,365 reads | 7 comments | 03/21/2017

Given the common incidence of plantar plate injuries and the complications that can arise from more severe tears, this author offers a comprehensive guide to the biomechanics inherent to the plantar plate as a foundation for effective treatment of related injuries. 

When A Plantar Verruca Invades The Tissue Under A Nail Plate

Nicholas A Campitelli DPM FACFAS | 860 reads | 0 comments | 10/09/2017

Covering Plantar Wounds With An Abductor Digiti Minimi Muscle Flap

Jayson N. Atves, DPM, CO, Tammer Elmarsafi, DPM, MBBCh, Christopher E. Attinger, MD, and John S. Steinberg, DPM, FACFAS | 2,095 reads | 0 comments | 04/28/2017

These authors discuss using the abductor digiti minimi muscle flap to help facilitate limb salvage in a 63-year-old patient with Charcot neuroarthopathy and a diabetic plantar ulcer.

Diagnosing A Possible Plantar Plate Tear In A Dancer

Richard Blake DPM | 2,032 reads | 0 comments | 02/15/2017

I recently got an email from a tap dancer who rehearses weekly for about two hours twice a week. She has been tap dancing since age 2 and has never been injured as a dancer.

This past November she attended a tap workshop in which she was dancing pretty much nonstop for six hours straight for two consecutive days. By the last class of the second day, she had some pain in the ball of her foot but chalked that up as normal for the amount of pounding her feet had taken, and didn't think much of it.