scholarly journals Isolated Gastrocnemius Recession for Plantar Fasciitis

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0018
Author(s):  
Nicholas Cheney ◽  
Timothy Law ◽  
David Zehnder ◽  
Bryan Large ◽  
Kyle Rockwell ◽  
...  
Keyword(s):  
Pain Score ◽  
Plantar Fasciitis ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Definitive Treatment ◽  
Plantar Heel Pain ◽  
Post Operative Pain ◽  
Gastrocnemius Recession ◽  
Equinus Contracture ◽  
New Onset

Category: Hindfoot Introduction/Purpose: Plantar fasciitis is a debilitating problem that can cause long-term pain. Multiple different studies with various modalities have been suggested to treat the inflammation of the plantar fascia. None of them have provided a cause for the inflammation. A few recent studies have shown gastrocnemius equinus to be a driving factor in foot pain, which includes plantar fasciitis. Our belief is that the inflammation is due to a stretch placed on the plantar fascia due to a gastrocnemius equinus contracture and the beginning of an arch collapse per the Grand Rapids arch collapse model. As such, we wanted to review our results with an isolated gastrocnemius recession for the treatment of plantar fasciitis. Methods: We retrospectively reviewed patient data collected by isolating ICD-9 and ICD-10 codes for plantar fasciitis. These patients presented to the senior author’s office with a complaint of plantar heel pain, were diagnosed with a gastrocnemius equinus contracture and plantar fasciitis, failed conservative treatment, and opted for an isolated gastrocnemius recession as a definitive treatment of the fasciitis. From the timeframe of 1/1/2015 to 6/12/17, there were 68 out of 97 patients who qualified for the study based on the necessary criteria: an initial consultation pain score, initial post-operative pain score at two weeks, and second post-operative pain score at eight weeks. These patients did not have coexisting surgeries at the time of the gastrocnemius recession or prior surgery to the area in discussion. Results: For the 68 patients (five of which underwent bilateral procedures at a minimum of six weeks apart), who elected to have a gastrocnemius recession for plantar fasciitis, the average initial presenting pain was a 7.4 on a scale of 0 to 10. The average initial post-operative pain score was 2.8 and the average second post-operative pain score was 3.3. The average number of days from initial to second post-operative appointment was 136 days. Of the 68 patients, 21 returned after their eight-week post-operative visit for evaluation. Only 3 returned with recurrent plantar heel pain, 4 more presented with new onset tarsal tunnel syndrome, three more with heel pain different from their pre operative pain and the remaining patients had new onset unrelated pain. Conclusion: We have demonstrated that an isolated gastrocnemius recession can decrease the pain score in patients with recalcitrant plantar fasciitis. Follow up care beyond eight weeks post operation is not routinely performed due to the limited nature of the procedure. The improvement demonstrated in the VAS scores of the patients included in this study show a definite improvement and as such, we believe that an isolated gastrocnemius recession should be considered as a definitive treatment of plantar fasciitis. Future prospective randomized studies will need to be completed to further evaluate the effectiveness of this procedure.

scholarly journals Plantar fasciitis

2012 ◽  
Vol 94 (8) ◽  
pp. 539-542 ◽  
Author(s):  
S Cutts ◽  
N Obi ◽  
C Pasapula ◽  
W Chan
Keyword(s):  
Plantar Fasciitis ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Management Options ◽  
Heel Spur ◽  
New Techniques ◽  
Extracorporeal Shockwave Therapy ◽  
Shockwave Therapy ◽  
Plantar Heel Pain ◽  
History Of

INTRODUCTION In this article we look at the aetiology of plantar fasciitis, the other common differentials for heel pain and the evidence available to support each of the major management options. We also review the literature and discuss the condition. METHODS A literature search was performed using PubMed and MEDLINE®. The following keywords were used, singly or in combination: ‘plantar fasciitis’, ‘plantar heel pain’, ‘heel spur’. To maximise the search, backward chaining of reference lists from retrieved papers was also undertaken. FINDINGS Plantar fasciitis is a common and often disabling condition. Because the natural history of plantar fasciitis is not understood, it is difficult to distinguish between those patients who recover spontaneously and those who respond to formal treatment. Surgical release of the plantar fascia is effective in the small proportion of patients who do not respond to conservative measures. New techniques such as endoscopic plantar release and extracorporeal shockwave therapy may have a role but the limited availability of equipment and skills means that most patients will continue to be treated by more traditional techniques.

scholarly journals EFFECTIVENESS OF STRETCHING EXERCISES IN COMPARISON TO KINESIO TAPING FOR THE CURE OF PLANTAR FASCIITIS PAIN

2014 ◽  
Vol 3 (2) ◽  
pp. 31-35
Author(s):  
Syeda Rida Baqir ◽  
Syed Abid Mehdi Kazmi
Keyword(s):  
Plantar Fasciitis ◽  
Tertiary Care ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Warning Signs ◽  
Care Hospital ◽  
Plantar Heel Pain ◽  
Kinesio Taping ◽  
Cold Pack ◽  
Stretching Exercises

OBJECTIVE To determine the efficacy of stretching exercises verses kinesio taping for the cure of plantar fasciitis pain. BACKGROUND It is the apparent problem of foot that influences athletes. It transpires when rhythmic pressure is occurred on the heel as of a chronic or acute state. Physical therapists had apply many methods attempt to alleviate the warning signs of pain in plantar heel, as well as a variety of taping techniques for which there is slight accessible facts. METHOD Research was conducted at Outpatient Department of tertiary care hospital. INTERVENTIONS 18 contestants amid plantar heel pain were hired from the ordinary community. Participants were randomly assigned into two groups. Group A participants were treated with kinesio taping, cold pack and ultrasound. Group B participants were treated with stretching, cold pack and ultrasound. The period of record for every participant was four weeks. No participants are missing to transcribe. Outcome assesses included pain in ‘first-step’ (evaluated on a Pain Scale from 1to 10) plus the pain disability index Questionnaire. RESULTS Comprehensive information was acquired from eighteen participants. One-year record outcomes proved great improvement in every participant after application of stretching exercises of plantar fascia, with an chiefly lofty rate of upgrading in the actual group participants managed by the stretching exercises. CONCLUSION This study consists of the application of the stretching method which is the major element of management in chronic condition of plantar fasciitis. Continuing advantages of the stretching exercises include a noticeable reduction of pain and a lofty rate of achievement. These finding can give the health-care provider with an efficient, economical, and uncomplicated treatment method. KEY WORDS Plantar fasciitis, Plantar heel pain, repetitive micro trauma, plantar fascia, heel spur, nerve trapping, taping, stretching.

scholarly journals PLANTAR FASCIITIS;

2019 ◽  
Vol 26 (01) ◽  
Author(s):  
Raja Umar Liaqat ◽  
Junaid Khan ◽  
Fareeha Chaudhry ◽  
Muhammad Imran Aftab ◽  
Riaz Ahmed
Keyword(s):  
Pain Score ◽  
Plantar Fasciitis ◽  
Corticosteroid Injection ◽  
Controlled Trial ◽  
Autologous Blood ◽  
Heel Pain ◽  
Score Study ◽  
Plantar Heel Pain ◽  
Group A ◽  
Group B

Objectives: To compare Intra-lesional corticosteroid injection with autologous blood injection therapy in plantar fasciitis in terms of mean pain score. Study Design: Randomized Controlled Trial (RCT). Place and Duration: At the Department of Orthopaedics, Benazir Bhutto Hospital, Rawalpindi, for a duration of 01 year i.e. from 7th May 2016 to 6th May 2017. Patients and Methods: Patients with unilateral plantar heel pain fulfilling the inclusion criteria were included in the study. Patients were randomly allocated into two groups; A and B. Group A were injected 2mL corticosteroid injection in heel. Those in Group B were injected with 2mL of autologous blood mixed with 1 mL of 2% lidocaine. Outcome was assessed using Visual Analog Score (VAS) at 3 months. Results: A total of 180 patients with unilateral plantar heel pain were included. Mean age of patients was 49.98±11.26 years. 91 (50.6%) were male and 89 (49.4%) females. At 12-weeks post-treatment, mean pain score was significantly high in group A than group B (3.24±1.05 vs. 2.54±1.01; p=0.0005). Conclusion: Autologous blood was more effective than corticosteroid injection in patients with plantar fasciitis as was seen at 3 months follow-up.

scholarly journals Reduction in Plantar Heel Pain and a Return to Sport After a Barefoot Running Intervention in a Female Triathlete With Plantar Fasciitis

2017 ◽  
Vol 22 (5) ◽  
pp. 26-32 ◽  
Author(s):  
Peter Francis ◽  
Cassie Oddy ◽  
Mark I. Johnson
Keyword(s):  
Conservative Treatment ◽  
Plantar Fasciitis ◽  
Case Series ◽  
Return To Sport ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Barefoot Running ◽  
Plantar Heel Pain ◽  
First Case

In a 27-year-old female triathlete, magnetic resonance imaging revealed mild thickening and edema at the calcaneal insertion of the plantar fascia, in keeping with a degree of plantar fasciitis. After 6 weeks of conservative treatment failed to elicit a return to sport, the patient engaged in six sessions of barefoot running (15–30 min) on a soft grass surface, without further conservative treatment. After two sessions of barefoot running, the patient was asymptomatic before, during, and after running. This outcome was maintained at the 6-week follow-up period. This is the first case report to use barefoot running as a treatment strategy for chronic heel pain. Barefoot running has the potential to reduce the load on the plantar fascia and warrants further investigation using a case series.

scholarly journals Results of autologous venous blood injections in plantar fasciitis: a prospective clinical study

2017 ◽  
Vol 5 (10) ◽  
pp. 4478
Author(s):  
Khurshid Ahmad Bhat ◽  
Suhail Ahmad Bhat ◽  
Khalid Muzaffar ◽  
Muhammad Haseeb
Keyword(s):  
Pain Score ◽  
Plantar Fasciitis ◽  
Autologous Blood ◽  
Venous Blood ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Prospective Clinical Study ◽  
History Of ◽  
Autologous Blood Injection ◽  
Blood Injection

Background: Plantar fasciitis is a degenerative disease of plantar fascia and is one of the most common causes of heel pain. The response to any treatment modality is unpredictable. The autologous blood might induce healing in the areas of degeneration by providing cellular and humoral components. The aim of this study was therefore to evaluate the results of autologous blood injection in plantar fasciitis.Methods: Thirty-two patients (average age of 42.4 years), 14 males (43.7%) and 18 females (56.2%) with history of chronic heel pain of more than 6 months duration were taken up for autologous blood injection. All the patients in this study were clinically evaluated and the visual analogous pain score was calculated from each patient pre-procedure and at 3 and 6 months after the procedure.Results: There was a significant improvement in VAS pain score in this study. Pre-procedure VAS pain score of 6.9 (average 4-10) was reduced to a mean score of 4.28 (average 0-9) at 3 months and a mean score of 3 (average 0-9) at 6 months.Conclusions: Autologous blood is an effective method of controlling pain in patients with plantar fasciitis.

scholarly journals Effect of Myofascial Release Therapy In Addition To K-Tape on Chronic Plantar Fasciitis

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
P k Tamil Nidhi ◽  
D Anandhan ◽  
B Arun ◽  
K Anantharaj
Keyword(s):  
Pain Score ◽  
Plantar Fasciitis ◽  
Tamil Nadu ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Control Group ◽  
Myofascial Release ◽  
Foot Function Index ◽  
Function Index ◽  
Foot Function

Plantar fasciitis is one of the most common cause of heel pain. Injury to the plantar fascia results in loss of normally resilient in fascia. Fascia becomes stiffened and prone to re-injury, which resulting in a vicious cycle of persistent pain and inflammation. Though many therapies would produce better results, there was less exploration on fascial release therapy and k-tape. The purpose of the study is to identify the effect of MFR in addition to K-tape on chronic plantar fasciitis. This is a Quasi-experimental study with 48 participants. The ethical approval was obtained and the study was conducted in multiple physiotherapy centers in Namakkal district, Tamil Nadu. All the participants were selected based on selection criteria mainly those who fulfil any of the three from below, 1) Heel pain increases in the morning with first few steps following prolonged bed rest 2) Pain localized to the inferior heel 3) Pain decreases with activity such as walking or moving 4) Pain score is between 3—7 cms in 10 cm VAS. 24 participants in the experimental group receive myofascial release therapy along with k-tape for 6 weeks, 24 participants in the control group receive stretching along with k-tape for 6 weeks. The outcome measures used in this study are pain and foot function by numerical pain scale and foot function index respectively. Results were analyzed using SPSS 20.0, the results show that there were significant differences obtained between the myofascial release therapy with the k-tape group when compared to k- tape only group. There was a pain score of 10.82 ± 0.196 (p < 0.001) and foot function index score of 10.6 ± 3.85 (p < 0.001). This study concluded that the use of Myofascial release therapy with K-tape reduces pain scores and improves foot function in plantar fasciitis.

Ultrasonographic Evaluation of Plantar Fascia Bands

2002 ◽  
Vol 92 (8) ◽  
pp. 444-449 ◽  
Author(s):  
Praveen K. Vohra ◽  
Brian R. Kincaid ◽  
Christopher J. Japour ◽  
Ellen Sobel
Keyword(s):  
Plantar Fasciitis ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Average Thickness ◽  
Lateral Band ◽  
Plantar Heel Pain ◽  
The Mean ◽  
Index Value

The authors measured the thickness of the medial, central, and lateral bands of the plantar fascia using ultrasonographic techniques in 109 symptomatic patients with 211 painful heels. Plantar fasciitis was diagnosed by the presence of plantar heel pain and tenderness of the plantar fascia on palpation and was correlated with plantar fascia thickness. All of the symptomatic feet had medial band tenderness, with an average thickness of 5.9 mm, 68% had central band tenderness, with an average thickness of 5.3 mm, and 26% had lateral band tenderness, with an average thickness of 4.4 mm. The average thickness of all symptomatic bands was 5.35 mm, which was significantly greater than that for all asymptomatic bands, which was 2.70 mm. There were also significant differences in the thickness of the three plantar fascia bands in symptomatic patients. A plantar fascia index was established consisting of the ratio of the mean thickness of symptomatic medial, central, and lateral plantar fascia bands to that of asymptomatic bands; for this study, the index value is 1.98 (5.35/2.70 mm). (J Am Podiatr Med Assoc 92(8): 444-449, 2002)

scholarly journals On the morphological relations of the Achilles tendon and plantar fascia via the calcaneus: a cadaveric study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
A. Singh ◽  
J. Zwirner ◽  
F. Templer ◽  
D. Kieser ◽  
S. Klima ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Plantar Fasciitis ◽  
Functional Relationship ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Strong Correlations ◽  
Cross Sectional ◽  
X Ray ◽  
Plantar Heel Pain ◽  
Morphological Relationship

AbstractCurrent treatments of plantar fasciitis are based on the premise that the Achilles tendon (AT) and plantar fascia (PF) are mechanically directly linked, which is an area of debate. The aim of this study was to assess the morphological relationship between the AT and PF. Nineteen cadaveric feet were x-ray imaged, serially sectioned and plastinated for digital image analyses. Measurements of the AT and PF thicknesses and cross-sectional areas (CSA) were performed at their calcaneal insertion. The fiber continuity was histologically assessed in representative subsamples. Strong correlations exist between the CSA of the AT and PF at calcaneal insertion and the CSA of PF’s insertional length (r = 0.80), and between the CSAs of AT’s and PF’s insertional lengths. Further correlations were observed between AT and PF thicknesses (r = 0.62). This close morphological relationship could, however, not be confirmed through x-ray nor complete fiber continuity in histology. This study provides evidence for a morphometric relationship between the AT and PF, which suggests the presence of a functional relationship between these two structures following the biological key idea that the structure determines the function. The observed morphological correlations substantiate the existing mechanical link between the AT and PF via the posterior calcaneus and might explain why calf stretches are a successful treatment option for plantar heel pain.

Incidence of plantar fasciitis in overweight patients of government hospitals of Faisalabad city.

2021 ◽  
Vol 28 (05) ◽  
pp. 718-724
Author(s):  
Ali Raza ◽  
Shahroz Saleem ◽  
Hafiz Salman Saeed ◽  
Ahmad Bilal ◽  
Zafar Ali Zafar ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Plantar Fasciitis ◽  
Heel Pain ◽  
Significant Relation ◽  
Chi Square ◽  
Plantar Heel Pain ◽  
Government Hospitals ◽  
Chi Square Test

Objective: To determine relationships of body mass index with plantar fasciitis and foot functions index and how many activities of daily living were limited with plantar heel pain due to overweight in population of Government Hospitals of Faisalabad City. Study Design: Cross-sectional study. Setting: Government Hospitals of Faisalabad City (Allied Hospital & District Headquarter Hospital). Period: March to May 2018. Material & Methods: 140 patients included both males and females. Convenient sampling technique was used in selection of study sample. Calculate BMI (kg/m2) and FFI questionnaire used in this study to find how many activities of daily living was limited with plantar heel pain due to overweight. Data was analyzed by using statistical package for social sciences (SPSS) version 20. Chi square test was applied. Results: There were 70 males and 70 females. Data was collected to overweight population (mean age, 42.15; mean BMI, 29.52 kg/m2; and mean height, 1.68m). Out of 140 overweight population was (66.4%) and obese population (33.6%). The windlass test showed (87.9%) positive and (12.1%) negative. Chi-square test revealed no significant relation between rise in BMI and plantar heel pain (p = 0.105). However it shows significant relation between rise in BMI and FFI (p = 0.000). Conclusion: There is no statistical significant relation between body mass index and plantar fasciitis. According to foot function index patients significantly limit activities of daily living with plantar heel pain due to overweight.

scholarly journals Manual therapy interventions in the treatment of plantar fasciitis: A comparison of three approaches

2019 ◽  
Vol 24 ◽  
Author(s):  
Christopher Yelverton ◽  
Sunil Rama ◽  
Bernhard Zipfel
Keyword(s):  
Plantar Fasciitis ◽  
Pain Perception ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Combination Group ◽  
Mcgill Pain Questionnaire ◽  
Musculoskeletal Problem ◽  
Common Causes ◽  
Therapy Interventions ◽  
The University

Background: Plantar fasciitis is one of the common causes of heel pain and a common musculoskeletal problem often observed by clinicians. Numerous options are available in treating plantar fasciitis conservatively, but no previous studies have compared combined conservative management protocols.Aim: The aim of this study was to compare manipulation of the foot and ankle and cross friction massage of the plantar fascia; cross friction massage of the plantar fascia and gastrocsoleus complex stretching; and a combination of the aforementioned protocols in the treatment of plantar fasciitis.Setting: This study was conducted at the University of Johannesburg, Chiropractic Day Clinic, and included participants that complied with relevant inclusion criteria.Methods: Forty-five participants between the ages of 18 and 50 years with heel pain for more than 3 months were divided into three groups and received one of the proposed treatment interventions. The data collected were range of motion (ROM) of the ankle (using a goniometer) and pain perception using the McGill Pain Questionnaire and Functional foot index and algometer.Results: The results of this study indicate that cross friction massage of the plantar fascia and stretching of the gastrocsoleus complex showed the greatest overall improvement in terms of reducing the pain and disability and ankle dorsiflexion ROM, whereas the combination group showed the greatest increase in plantar flexion.Conclusion: The results demonstrated that all three protocols had a positive effect on the ROM and pain perception to patients with plantar fasciitis.

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