Plantar Fasciopathy Flashcards

1
Q

Plantar fasciopathy is aka as plantar _______ and _____ pain

A

fasciitis; heel

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2
Q

Prevalence
Most common _____ _______

A

foot condition

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3
Q

Risk Factors
Increased ____ ROM- indicating ankle instability and results in excessive pronation

High _____

_____ and work related ______ ______ with poor shock absorption

Impaired _____ _____ extension that reduces potential energy of fascia

Increased ____

A

PF

BMI

Running; prolonged WBing

1st MTP

age

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4
Q

Unclear Risk Factors
Tendinopathy origins
- excessive ______ ________
- excessive standing _____ ______

Decreased DF may contribute to excessive ________

A

dynamic pronation
calcaneal EV
pronation

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5
Q

Structures Involved
Fascia
1) ______
2) ______ - originates on medial tubercle
3) ______

Inserts on all proximal ________

A

medial
central
lateral
phalanges

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6
Q

Structures Involved:
Foot _______ muscles

heel (____) pad inn. by _____ nerve

_______ tendon fibers

Medial and lateral ______ n.

Bone _______
- Plantar fascia ________ and fat pad ________ BETTER indicators

A

intrinsic
fat; tibial
achilles
plantar
spurring
thickens; thinning

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7
Q

Structures Ivolved
Assists with gait through “______ _______” that is PE developed by normal foot and ankle motion

A

windlass effect

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8
Q

Etiology/Pathomechanics
_______ origins

A

tendinopathy

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9
Q

Symptoms
Often ________ onset of _____ pain after recent increase in WB activity

________> central heel pain
- especially after period of _______ (first step in the morning)

May improve with ____ to ______ activity

Worse at _____ of ____ ______ or after prolonged WB

A

gradual; heel

medial

inactivity

mild’ moderate

end; the day

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10
Q

Signs
Observation
________ plantar fascia
possible static _______ _______
possible _______ or ________ gait
possible excessive ______ _______
possibly impaired _____ ________

A

thickened
calcaneal EV
asymmetrical/antalgic
dynamic pronation
LQ control

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11
Q

Signs
ROM- possible and limitation with _______ and _____ ______ EXT

Resisted/MMT- possible weak and P!ful ____ ______

Special Test: lack of plantar fascia _________

Palpation: TTP over ______ ______ _____ > central heel P!

A

DF; 1st MTP

toe flexors

tautness

medial calcaneal insertion

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12
Q

PT Rx:
_______ education

  • ______ rule
  • load _________
  • _________ cues
  • weight loss
  • _________ surfaces with prolonged sitting
    POLICED
A

Patient
Soreness
management
Movement
cushioned

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13
Q

PT Rx: Modalities

_______ and _______ have short-term relief

A

Iontopheresis; LASER

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14
Q

Which modalities are not recommended for this condition?

A

US/electrotherapy

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15
Q

Shockwave therapy is _____ more effective than stretching and US

A

NOT

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16
Q

PT Rx: Manual Therapy
normalizes _____ and _____ ______ for P!, ROM, and function

JM- _______ benefits

A

mobility; muscle lengths

mixed

17
Q

Stretching for calf and plantar fascia

calf stretching alone= _____- improvement

combination- both ______ pain

BE _______!

A

no
improved
cautious

18
Q

PT Rx: Taping
____-_____ pain relief and function

A

short-term

19
Q

PT Rx: Orthotics improve P! and function with _______ to control and help cushion

Prefabricated orthotic is _____ ______ to custom

orthotic better than ____ _____

A

pronation

equally effective

heel pad

20
Q

PT Rx: Night Splint

Wear between ____ and ____ months with conistent first step P!

Improves impaired ______ due to shortened ______

A

1; 3

DF; PF

21
Q

PT Rx: Dry Needling _____ ______

A

NOT RECOMMENDED

22
Q

MET- purpose: primarily for _____ _________

A

fascial proliferation

23
Q

MET prescription- same as tendinosis; except ________ toe with two diff. ____ ______

A

hyperextend; heel raises

24
Q

Pronation controls excerises particuraly of tibialis ______

A

posterior

25
Q

Prognosis: _____% resolution of symptoms

A

80

26
Q

MD interventions
NSAIDS- no ____ ______ _____
Cortisone Injections- _____ and ____ term supportive evidence

Surgery: _______- cut to relieve
fascial tendon

Excision of _______

A

clinical trials
limited; short
fasciotomy
fibroma