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Plantar Fasciitis ( Fasciopathy )

Plantar Fasciitis ( Fasciopathy ). “My P ainful Foot!”. Plantar Fasciopathy. #1 Cause of heel pain! Afflicts Athletes Sedentary Slow to heal Often recurrent. Runners/Impact Athletes. Overuse injury Progressive Often necessitates modified and/or cessation of training

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Plantar Fasciitis ( Fasciopathy )

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  1. Plantar Fasciitis (Fasciopathy) “My Painful Foot!”

  2. Plantar Fasciopathy • #1 Cause of heel pain! • Afflicts • Athletes • Sedentary • Slow to heal • Often recurrent

  3. Runners/Impact Athletes • Overuse injury • Progressive • Often necessitates modified and/or cessation of training • Frequently recurrent

  4. Symptoms • Weight bearing heel pain • Burning • Sharp, dull, achy • Morning pain with first few steps • Pain after prolonged sitting

  5. Risk Factors • Female gender • Excessive body weight • Working on hard surfaces • Ankle stiffness

  6. Nonoperative Treatments • Rest • Soft heel inserts • Orthotics • Stretching • PT modalities • Night splints

  7. Shock Wave Therapy • Safe • Effective • Noninvasive • In-office procedure • Popular in Europe/South America • Usually not covered by insurance in USA

  8. Best Stretches Non Weight-Bearing PF Stretches

  9. Common Surgical Options • Limited fascia release • Corrects PF tightness • Tendon lengthening • May improve ankle flexibility • Combination of above

  10. Prevention Strategies • Good shoeware • Optimal body weight • Maintain flexibility • Avoid excessive “pounding” on hard surfaces

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