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Plantar Fasciitis say: plant-er fash-ee-eye-tis

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Plantar Fasciitis say: plant-er fash-ee-eye-tis

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    1. Plantar Fasciitis (say: plant-er fash-ee-eye-tis) Kelly Wood February 13, 2007

    2. Background Information Broad band of dense connective tissue running from the medial aspect of the calcaneus to the MTP joints. Functions to assist in stability of the foot and secures the longitudinal arch. Acts as a “shock absorber”

    3. Etiology Tension builds during extension of toes and drop of long. arch 2ş weight bearing. Increased tension/stress of plantar fascia 2ş toe-off phase in running equaling up to twice the body weight. Overuse. Running on uneven surfaces. Pes planus/ Pes cavus Choice of shoe.

    4. Etiology Cont’d Poor running technique Leg length discrepancy Inflexible longitudinal arch Tight gastrox and soleus Insufficient arch support Running with a lengthened stride Running on soft surfaces

    5. Signs and Symptoms Pain with initial steps in the morning or after prolonged sitting, but lessens with a few steps. Point tender over medial aspect of calcaneus, but later centralizing. Pain increased with passive dorsiflexion of toes and forefoot. Diagnosing early is KEY.

    6. Treatment/Management Arch taping may decrease symptoms. Exercises* to stretch fascia and dorsiflex hallicus. NSAIDs to manage inflammation and pain. Cross friction massage. Ultrasound.

    7. Treatment Plan Cont’d Shoes with built in arch support. Night splints may be used to stretch fascia overnight. Soft orthotics with a deep heel cup. Steroidal injections may be needed. Surgery- plantar fascia release. 70-90% effective.

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