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Flashcards in PlantarFasciopathy Deck (11):

What is plantarfascia

-thick, broad inelastic band of fibrous tissue that runs along the bottom of foot


Where does Plantarfascia attach and insert

-attach to calcaneus
-inserts in bottom of metatarsal bones


What is the function of plantarfascia

-support for longitudinal arch
-shock absorption


What is plantarfasciopathy

-overuse of plantarfascia at attachment
-collagen disarray in the absence of inflammatory cells
-heel spur syndrome
-occurs in runners


What is the mechanism of injury

-repeated trauma
-activities requiring max PF of ankle and simultaneous DF of metatarsalphalangeal joints
-tightness of proximal structures - calf, hamstring, glutes§


what are the risk factors /causes

-pes planus
-pes cavus
-running on hills
-poor arch support in shoes
-rapid change in activity level
-decrease dorsiflexion
-muscle imbalance


what are the symptoms

-pain on medial aspect of heel
-gradula onset
-worse in mornings + decrease with activity
-as condition worsens so does pain with activity
-pain goes from dull intermitant to sharp constant


what are the signs

-acute tenderness medial tuberosity of calacneus
-platar fascia tightness
-excessive supination/pronation
-decrease calf and hip strength
-decrease single leg balance


What investigations would take place

-ultrasound - gold standard, swelling of PF, thickness may be measured

-MRI - increased signal intensity + thickening at PF attachment to calcaneus at medial calcaneal tuberosity


What conservative treatment

-avoid aggravating factors
stretching on platar fascia, gastroc and soleus
-podiatry Ax
-footwear with well supported arches
-night splints
corticosteroid injection


When would you consider surgery

-rigid cavus foot whose PF is shortened + thickened