scholarly journals Agnikarma (therapeutic heat burn) an unique approach in the management of vatakantaka w.s.r. to plantar fasciitis- A single Case Report

2021 ◽  
Vol 5 (1) ◽  
pp. 30-35
Author(s):  
Riddhi J. Ganatra ◽  
Manisha M. Kapadiya ◽  
T. S. Dudhamal

Heel pain is most common condition now days and the ratio of occurrence observed is 1 out of 10 people suffered once during their life period. There are so many conditions causing heel pain among that Plantar fasciitis is one which is having high prevalence rate. In Ayurveda Plantar fasciitis can be corelated with Vatakantaka. Walking on uneven surface and repeated injury leads to Vata prakopa due to that it develops pricking type of pain like thorn in heel region and ultimately leads to Vatakantaka. This is the small evidence to support traditional treatment modalities to describe for management of Vatakantaka (planter fasciitis).  A 47year old male patient complaining of pain in right heel region for 5 months along with difficulty in walking after awakening from bed at morning. Then patient was treated in outdoor patient department with 4 successive sittings of bindu dagdha Agnikarma at posterior medial side of right heel region in 7 days interval along with Rasna Saptaka Kwatha 20 ml empty stomach orally two times a day for 1 month. After 1 month of treatment, patient got complete relief in pain and stiffness. 

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1251-1258
Author(s):  
Devika B ◽  
Karthik Ganesh Mohanraj ◽  
Vishnu Priya V

Plantar fasciitis (PF) is a commonly reported cause of plantar heel pain. The purpose of this study is to create awareness of the risk factors and/or events that leads to the development of plantar fasciitis. The identification of musculoskeletal factors related to plantar heel pain could lead to the development of intervention strategies and improve clinical outcomes. The aim of the study is to know the prevalence and risk factors of plantar fasciitis among middle-aged male and female population – a survey based study. A self-administered questionnaire containing about 16 questions was prepared and circulated through online survey google forms link. About 129 middle aged people responded to the survey. The responses were collected, tabulated and statistically analysed using SPSS software. Out of which 47.33% were females and 52.67% where males. 45.80% of the total population have a stabbing pain in the heel early in the morning and also with the long-standing while 54.20% of the population do not have this condition. 41.22% of the population experience mild pain early in the morning, 42.75% experience moderate pain,13.74% experience severe pain and 2.29% experience very severe pain early in the morning. Plantar fasciitis is one of the causes of inferior heel pain in adults. The patient has a gradual occurrence of pain along the medial side of the heel. The pain is worse when arising in the morning, which becomes less severe after a few steps.


2012 ◽  
Vol 2 (1) ◽  
pp. 13-17
Author(s):  
Suzan M. Attar

Plantar fasciitis is a common cause of heel pain in adults. It is a clinical diagnosis, as patients classically presents with pain that is particularly severe with the first few steps in the morning. Although it is a self-limited condition; however, due to the severity of the pain, medical attention is sought. Symptoms will ease quicker if risk factors are adjusted and multiple treatment modalities are started as early as possible. This article reviews plantar fasciitis; presents the most effective treatment options currently available.


Author(s):  
Kripa D ◽  
Waheeda Banu

Pain is a symptom which alters our day to day activities, affecting the quality of life. One among such pain is, pain in the heel, which causes difficulty in walking and in turn disturbs daily routines. Plantar fasciitis is most common cause of heel pain in adults. It is estimated that 1 in 10 people may experience inferior heel pain during their life time. Signs and symptoms of Vatakantaka resembles with Plantar fasciitis according to modern paralines. Treatment Modalities according to modern science is NSAIDS, toe stretching, corticosteroid injections, extracorporeal shock wave therapy and surgical correction are the indicated treatments. Analgesics have been used in practice by modern practitioners to give immediate relief to patients from pain. And modern medicine has a huge number of the drug for pain management but they impact body with serious side effects. Therefore there is a large scope of finding a treatment for Vatakantaka So in this study Kokilakshadi Kwatha explained in Yogaratnakara is considered. The study is divided into four sections as Disease review, Drug review, Pharmaceutical study and clinical study. Methods: The outcome of Kokilakshadi kwatha is evaluated clinically on minimum of 30 patients. Kokilakshadi kwatha was given for 21 days. The lab test and clinical analysis were done as per requirement for the assessment. Evaluation of parameters of the disease like Pain and Tenderness were done before treatment, after 11 days and after 21days. Results: As a result, Out of 30 patients, highly significant results (p<0.001) were obtained with respect to pain (93.3%) and tenderness (60%). Conclusion: Kokilakshadi Kwatha showed good results in reduction of signs and symptoms of Vatakantaka. The statistical analysis also supported this by concluding that the improvement after treatment is highly significant.


2015 ◽  
Vol 105 (2) ◽  
pp. 135-140 ◽  
Author(s):  
Nicholas G. Argerakis ◽  
Rock G. Positano ◽  
Rock C. J. Positano ◽  
Ashley K. Boccio ◽  
Ronald S. Adler ◽  
...  

Background One of the most common causes of heel pain is plantar fasciitis; however, there are other pathologic disorders that can mimic the symptoms and clinical presentation of this disorder. The purpose of this study was to retrospectively review the prevalence of various pathologic disorders on ultrasound in patients with proximal plantar heel pain. Methods The medical records and diagnostic ultrasound reports of patients presenting with plantar heel pain between March 1, 2006, and March 31, 2007, were reviewed retrospectively, and the prevalence of various etiologies was collected. The inclusion criteria were based on their clinical presentation of plantar fasciitis or previous diagnosis of plantar fasciitis from an unknown source. Ultrasound evaluation was then performed to confirm the clinical diagnosis. Results We examined 175 feet of 143 patients (62 males and 81 females; age range, 16–79 years). Plantar fibromas were present in 90 feet (51%). Plantar fasciitis was diagnosed in 128 feet (73%). Coexistent plantar fibroma and plantar fascial thickening was found in 63 feet (36%). Of the 47 feet that were negative for plantar fasciitis on ultrasound, 27 (57%) revealed the presence of plantar fibroma. Conclusions Diagnostic ultrasound can effectively and safely identify the prevalence of various etiologies of heel pain. The high prevalence of plantar fibromas and plantar fascial tears cannot be determined by clinical examination alone, and, therefore, ultrasound evaluation should be performed for confirmation of diagnosis.


2012 ◽  
Vol 2 (1) ◽  
pp. 13-17
Author(s):  
Suzan M. Attar

Plantar fasciitis is a common cause of heel pain in adults. It is a clinical diagnosis, as patients classically presents with pain that is particularly severe with the first few steps in the morning. Although it is a self-limited condition; however, due to the severity of the pain, medical attention is sought. Symptoms will ease quicker if risk factors are adjusted and multiple treatment modalities are started as early as possible. This article reviews plantar fasciitis; presents the most effective treatment options currently available.


Author(s):  
Imen Ksiaa ◽  
Safa Ben Aoun ◽  
Sourour Zina ◽  
Dhouha Nefzi ◽  
Sana Khochtali ◽  
...  

Abstract Objective To describe a case of Behçet disease (BD) uveitis manifesting with sequential bilateral neuroretinitis associated with prepapillary inflammatory vitreous exudate (PIVE). Material and methods A single case report documented with multimodal imaging. Results A 37-year-old man developed neuroretinitis with associated PIVE in the left eye. He was diagnosed with ocular toxoplasmosis and treated accordingly based on positive serologic testing and negative work-up for other entities, including BD. The disease course was favorable, but 1 year later a similar neuroretinitis developed in the right eye. Extraocular features of BD became evident only at the time of the second eye involvement, and the patient received corticosteroid and immunosuppressive therapy. Swept source (SS) OCT showed at the acute phase in both eyes a typical “mushroom-shaped” prepapillary hyperreflectivity of the PIVE. SS OCT angiography (OCTA) demonstrated a corresponding prepapillary hypointense area due to shadowing effect, decreasing in size while scanning deeper layers. It also detected peripapillary retinal hypervascularity in both eyes and a sectoral area of flow signal loss in the first involved left eye. Visual acuity improved following the resolution of the PIVE and associated acute inflammatory changes in both eyes. The left eye showed residual optic disc pallor and retinal nerve fiber layer defects. Conclusion Sequential bilateral neuroretinitis associated with PIVE may occur before other clinical features of BD become evident. SS OCT and OCTA can provide useful information for the diagnosis and management of this rare, but typical, ocular manifestation of BD uveitis.


1996 ◽  
Vol 17 (9) ◽  
pp. 527-532 ◽  
Author(s):  
Lowell H. Gill ◽  
Gary M. Kiebzak

Four hundred eleven patients with a clinical diagnosis of plantar fasciitis were assessed for predisposing factors. Each patient completed an outcomes assessment survey instrument that ranked effectiveness of various nonsurgical treatment modalities. Listed in descending order of effectiveness, the treatment modalities assessed were short leg walking cast, steroid injection, rest, ice, runner's shoe, crepe-soled shoe, aspirin or nonsteroidal anti-inflammatory drug, heel cushion, low-profile plastic heel cup, heat, and Tuli's heel cup. Treatment with a cast ranked the best. The Tuli's heel cup ranked the poorest. Most of the treatments were found to be unpredictable or minimally effective. The ineffectiveness of nonsurgical treatments noted in this outcomes study is at variance with most published clinical studies in which generally favorable results are reported after nonsurgical treatment for plantar fasciitis.


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