Painful Heel Syndrome: Results of Nonoperative Treatment

Davis, Pamela F.; Severud, Erik L; Baxter, Donald E.

doi:10.1177/107110079401501002

Cited by 226 publications

(135 citation statements)

References 23 publications

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“…9,10,13,47 The mean duration of symptoms for our subjects is comparable to the duration of symptoms reported FIGURE 7. Mean toe flexors strength for the involved (black bar) feet of subjects with unilateral plantar fasciitis was significantly less than (P<.05) mean strength for the uninvolved feet (gray bar) of the same subjects.…”

Section: Discussionsupporting

confidence: 67%

Toe Flexors Strength and Passive Extension Range of Motion of the First Metatarsophalangeal Joint in Individuals With Plantar Fasciitis

Allen

Gross

2003

J Orthop Sports Phys Ther

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Study Design: Cross-sectional study. Objective: To determine if a difference exists in toe flexors strength and passive extension range of motion of the first metatarsophalangeal joint between individuals with unilateral plantar fasciitis and control subjects. Background: Weakness of the dynamic longitudinal arch supporters and shortening of the plantar fascia have been suggested as etiologic factors for plantar fasciitis. Methods and Measures: Twenty subjects with unilateral plantar fasciitis participated in the study. Subjects had had symptoms for an average (±SD) of 19.9 ± 33.2 months prior to participating in the study. Twenty control subjects matched for sex and age were also tested. Each subject was measured bilaterally for passive extension range of motion of the first metatarsophalangeal joint and peak resistance force observed during an isometric test of toe flexors strength. Results: Subjects with unilateral plantar fasciitis demonstrated weaker toe flexors (PϽ.05) than the control subjects. A significant main effect for feet also indicated that the toe flexors for the involved feet were significantly weaker than the uninvolved feet (PϽ.05) of subjects with unilateral plantar fasciitis. Passive extension range of motion of the first metatarsophalangeal joint was not significantly different between the involved and the uninvolved feet for subjects with plantar fasciitis. Conclusion: Results for our subjects indicate that the extensibility of soft tissues influencing extension of the first metatarsophalangeal joint was not related to the presence of plantar fasciitis. Additional research is needed to determine if toe flexors weakness is a cause or a result of plantar fasciitis and if strengthening regimes for the toe flexors are effective interventions for plantar fasciitis. J Orthop Sports Phys Ther 2003;33:468-478.

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Section: Discussionsupporting

confidence: 67%

Toe Flexors Strength and Passive Extension Range of Motion of the First Metatarsophalangeal Joint in Individuals With Plantar Fasciitis

Allen

Gross

2003

J Orthop Sports Phys Ther

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“…Chronic plantar fasciitis is a common problem that affects sport participants as well as inactive middle-aged individuals [6,19]. In general, the condition is self-limiting, and the majority of cases spontaneously resolve regardless of type of intervention received (including placebo) [4].…”

Section: Introductionmentioning

confidence: 99%

Platelet-rich plasma injections for chronic plantar fasciitis

Martinelli

Marinozzi

Carnì

et al. 2012

International Orthopaedics (SICOT)

130

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Purpose The purpose of this study was to assess the safety and preliminary clinical results of platelet-rich plasma (PRP) injections for treating chronic plantar fasciitis. Methods Fourteen consecutive patients with chronic plantar fasciitis receiving three injections of PRP into the plantar fascia were assessed 12 months after the procedure. The modified Roles and Maudsley score and a visual analogue scale (VAS) for pain were used to evaluate the clinical results. Results According to criteria of the Roles and Maudsley score, at 12 months of follow-up, results were rated as excellent in nine (64.3 %), good in two (14.3 %), acceptable in two (14.3 %) and poor in one (7.1 %) patient. VAS for pain was significantly decreased from 7.1±1.1 before treatment to 1.9±1.5 at the last follow-up (p<0.01). Conclusions In this single-centre, uncontrolled, prospective, preliminary study, results indicate that treating chronic plantar fasciitis with PRP injections is safe and has the potential to reduce pain.

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“…18 The initiation of conservative treatment soon after the onset of symptoms is assumed to provide cure in the majority of patients by 6 weeks, and more than 90% are cured with nonoperative care by 12 months. 13,[19][20][21][22][23] However, recovery from acute plantar fasciitis is frequently slow and may require consistent treatment and encouragement by a physician for the duration of symptoms. 20,23 A multimodal conservative approach seemed to be effective at resolving the patient's pain and allowing him to return to football.…”

Section: Discussionmentioning

confidence: 99%

“…13,[19][20][21][22][23] However, recovery from acute plantar fasciitis is frequently slow and may require consistent treatment and encouragement by a physician for the duration of symptoms. 20,23 A multimodal conservative approach seemed to be effective at resolving the patient's pain and allowing him to return to football. Graston Technique is a procedure used to treat soft tissue problems involving muscles, tendons, ligaments, and nerves.…”

Section: Discussionmentioning

confidence: 99%

Chiropractic management of pediatric plantar fasciitis: a case report

Daniels

Morrell

2012

Journal of Chiropractic Medicine

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Objective: The purpose of this report is to present the case of a 10-year-old football player with bilateral plantar fasciitis who improved with a multimodal conservative approach using chiropractic treatment. Clinical Features: The patient presented with bilateral plantar heel pain at the origin of the plantar fascia with a duration of 3 weeks. Intervention and Outcome: Treatment was provided for 6 visits over a 6-week period. Chiropractic care consisted of manipulative therapy, soft tissue therapy, and home rehabilitation exercises. The soft tissue technique (Graston Technique) was performed to the origin of the plantar fascia and the triceps surae bilaterally. High-velocity, low-amplitude manipulation was applied to the restricted ankle mortise joint. After 6 treatments, the patient reported resolution of foot pain bilaterally and improvements in activities of daily livings. Three months later, the patient reported no further complications and the absence of pain. Conclusion: This patient with bilateral plantar fasciitis improved after a course of a multimodal treatment approach using chiropractic manipulation and soft tissue therapy in addition to exercise and stretching therapies.

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Painful Heel Syndrome: Results of Nonoperative Treatment

Cited by 226 publications

References 23 publications

Toe Flexors Strength and Passive Extension Range of Motion of the First Metatarsophalangeal Joint in Individuals With Plantar Fasciitis

Toe Flexors Strength and Passive Extension Range of Motion of the First Metatarsophalangeal Joint in Individuals With Plantar Fasciitis

Platelet-rich plasma injections for chronic plantar fasciitis

Chiropractic management of pediatric plantar fasciitis: a case report

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