JALAUKĀVACARAṆA IN PLANTAR FASCIITIS

2020 ◽  
Vol 8 (10) ◽  
pp. 4724-4731
Author(s):  
Veena K Nambiar ◽  
George M. J
Keyword(s):  
Plantar Fasciitis ◽  
Plantar Fascia ◽  
Modern Medicine ◽  
Heel Pain ◽  
Time Saving ◽  
Clinical Assessments ◽  
Plantar Surface ◽  
Non Invasive ◽  
Recent Origin ◽  
Inflammatory Changes

Plantar fasciitis is a disorder that results in pain in the heel and plantar surface. Chronic inflammation of posterior bony attachment of the plantar aponeurosis is known as plantar fasciitis. As per statistics, 1 in 10 people develop heel pain at some point in their life. Out of heel pain from all causes, 80% is due to plantar fasciitis. People are advised to take rest, physiotherapy, orthotics, splinting or steroid injections. Despite proper management in modern medicine, reoccurrence rate is more. Hence it is relevant to find out a meth-od of management of this condition using Ayurveda. The causative and risk factors create a cumulative micro trauma to plantar fascia and it may be considered as Vraṇa and the inflammatory changes in plantar fascia may be considered as Vraṇa Śōpha. For inflammations with recent origin bloodletting should be car-ried out to reduce pain and obviate suppuration. So Jalaukāvacaraṇa was done as it is a non-invasive, pa-tient compliant and time saving procedure. A total number of 20 participants with the symptoms of plantar fasciitis were selected and evaluated, by taking detailed history and clinical examination. The study was conducted at Shalyatantra OPD of VPSV AVC, Kottakkal. Jalaukāvacaraṇa was done on 1st, 8th and 15th days. Clinical assessments were done on 1st, 8th, 15th 22nd and 43rd days. On statistical analysis, it was found that the Jalaukāvacaraṇa shows 67.85 % of effect in the management of plantar fasciitis. Ja-laukāvacaraṇa is having more efficacy in acute cases (duration within 6 months), as Raktaviśrāvaṇa is indicated for recent inflammations.

Ultrasound Diagnosis of Plantar Fasciitis

Foot & Ankle ◽  
1993 ◽  
Vol 14 (8) ◽  
pp. 465-470 ◽  
Author(s):  
Janet Rae Wall ◽  
Margo Amy Harkness ◽  
Alan Crawford
Keyword(s):  
Observational Study ◽  
Plantar Fasciitis ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Heel Spur ◽  
X Ray ◽  
The Difference ◽  
Clinically Significant ◽  
Inflammatory Changes ◽  
Single Blind

There is currently no objective reliable diagnostic test for plantar fasciitis inasmuch as diagnosis cannot be made on the basis of finding a heel spur on radiography (x-ray). In this single-blind observational study, ultrasonography was used to measure plantar fascia thickness in subjects with clinically suspected plantar fasciitis and in control subjects. It was concluded that the population mean plantar fascia thickness is greater for people with plantar fasciitis than for people without heel pain (P < .0005) and that the difference is clinically significant. The ultrasonic appearance of the plantar fascia in plantar fasciitis indicated inflammatory changes.

scholarly journals Manual therapy interventions in the treatment of plantar fasciitis: A comparison of three approaches

2019 ◽  
Vol 24 ◽  
Author(s):  
Christopher Yelverton ◽  
Sunil Rama ◽  
Bernhard Zipfel
Keyword(s):  
Plantar Fasciitis ◽  
Pain Perception ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Combination Group ◽  
Mcgill Pain Questionnaire ◽  
Musculoskeletal Problem ◽  
Common Causes ◽  
Therapy Interventions ◽  
The University

Background: Plantar fasciitis is one of the common causes of heel pain and a common musculoskeletal problem often observed by clinicians. Numerous options are available in treating plantar fasciitis conservatively, but no previous studies have compared combined conservative management protocols.Aim: The aim of this study was to compare manipulation of the foot and ankle and cross friction massage of the plantar fascia; cross friction massage of the plantar fascia and gastrocsoleus complex stretching; and a combination of the aforementioned protocols in the treatment of plantar fasciitis.Setting: This study was conducted at the University of Johannesburg, Chiropractic Day Clinic, and included participants that complied with relevant inclusion criteria.Methods: Forty-five participants between the ages of 18 and 50 years with heel pain for more than 3 months were divided into three groups and received one of the proposed treatment interventions. The data collected were range of motion (ROM) of the ankle (using a goniometer) and pain perception using the McGill Pain Questionnaire and Functional foot index and algometer.Results: The results of this study indicate that cross friction massage of the plantar fascia and stretching of the gastrocsoleus complex showed the greatest overall improvement in terms of reducing the pain and disability and ankle dorsiflexion ROM, whereas the combination group showed the greatest increase in plantar flexion.Conclusion: The results demonstrated that all three protocols had a positive effect on the ROM and pain perception to patients with plantar fasciitis.

scholarly journals Patient Outcomes after Surgical Release of the Tarsal Tunnel and Baxter’s Nerve in Addition to Partial Plantar Fasciectomy for Chronic Heel Pain

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0010
Author(s):  
Blake Baer ◽  
Kathleen C. Ringenbach ◽  
Christopher E. Honstad ◽  
Paul J. Juliano ◽  
Umur Aydogan
Keyword(s):  
Patient Outcomes ◽  
Surgical Approach ◽  
Plantar Fasciitis ◽  
Symptom Relief ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Tarsal Tunnel ◽  
Duration Of Symptoms ◽  
Visual Analogue Pain ◽  
Nerve Release

Category: Hindfoot; Midfoot/Forefoot; Sports; Other Introduction/Purpose: Chronic heel pain often presents diagnostic and treatment challenges, in part because symptoms attributed to chronic plantar fasciitis may be part of a larger constellation of associated symptoms. This could explain unsatisfactory symptom relief in many patients who undergo surgical partial plantar fascia release after failing conservative therapy. While previous studies have suggested that additional releases of the distal tarsal tunnel and first branch of lateral plantar (Baxter’s) nerve may improve outcomes in the setting of chronic and recalcitrant heel pain, this combined surgical approach has yet to be documented. Surgically addressing constricted neurologic structures of the tarsal tunnel and Baxter’s nerve alongside partial plantar fasciectomy may lead to improved pain relief and overall patient outcomes. Methods: Study participants were retrospectively identified by database search for relevant criteria and specific CPT codes. Patient outcomes post operation were evaluated using the Foot and Ankle Ability Measurement (FAAM) and sports subscale questionnaires as outcome measures. Inclusion criteria included age greater than 18 years old, at least 6 months since surgery at time of survey, and clinical diagnosis of chronic plantar fasciitis surgically treated by partial plantar fasciectomy with Baxter’s nerve release and tarsal tunnel release performed by either of two staff surgeons between January 1, 2010 and December 31, 2018. Patients with Charcot-Marie-Tooth disease, all patients who were unwilling to participate in the phone survey or were unable to be reached, and all non-English speaking patients were excluded. Eligible patients (N=87) were consented and surveyed by phone. Results: Mean surgery-to-survey time was 39.25 +- 24.33 months. Mean duration of symptoms prior to surgery was 26.73 +- 30.58 months. Mean visual analogue pain (VAS) pre-surgery was 8.47 +- 1.82 (n=84). Survey respondents reported mean scores of 73.10 +- 22.09 and 49.13 +- 1.82 on the ADL score and sports subscale of the FAAM respectively. In retrospectively assessing whether patients would have chosen the surgery again, 70.93% (n=61) reported ‘yes’ while 29.07% (n=25) reported ‘no.’ Significant positive confounders were longer surgery to survey time in months (B= 0.21, p<0.01) and longer pre-surgical symptom length in months (B= 0.169, p<0.04). History of prior foot surgery (B= -22.128, p<0.0001) was identified as a significant negative confounding variable. Conclusion: Patients with chronic plantar fasciitis may benefit from a combined surgical approach involving Baxter’s nerve release and tarsal tunnel release in addition to standard partial plantar fasciectomy. This study demonstrated that this surgical approach is successful with FAAM ADL scores of 73.10 +- 22.09 (n=87) along with 70.9% (n=61) of patients reporting satisfaction with surgical outcome. Considering these implications, future high-quality studies further investigating any comparative benefit of this combined approach over traditional methods are warranted. [Table: see text]

scholarly journals Plantar Fasciitis: Are Pain and Fascial Thickness Associated With Arch Shape and Loading?

2007 ◽  
Vol 87 (8) ◽  
pp. 1002-1008 ◽  
Author(s):  
Scott C Wearing ◽  
James E Smeathers ◽  
Patrick M Sullivan ◽  
Bede Yates ◽  
Stephen R Urry ◽  
...  
Keyword(s):  
Plantar Fasciitis ◽  
Matched Control ◽  
Weight Bearing ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Structural Factors ◽  
Local Loading ◽  
Analog Scale ◽  
Pressure Plate ◽  
Arch Shape

Background and Purpose: Although plantar fascial thickening is a sonographic criterion for the diagnosis of plantar fasciitis, the effect of local loading and structural factors on fascial morphology are unknown. The purposes of this study were to compare sonographic measures of fascial thickness and radiographic measures of arch shape and regional loading of the foot during gait in individuals with and without unilateral plantar fasciitis and to investigate potential relationships between these loading and structural factors and the morphology of the plantar fascia in individuals with and without heel pain. Subjects: The participants were 10 subjects with unilateral plantar fasciitis and 10 matched asymptomatic controls. Methods: Heel pain on weight bearing was measured by a visual analog scale. Fascial thickness and static arch angle were determined from bilateral sagittal sonograms and weight-bearing lateral foot roentgenograms. Regional plantar loading was estimated from a pressure plate. Results: On average, the plantar fascia of the symptomatic limb was thicker than the plantar fascia of the asymptomatic limb (6.1±1.4 mm versus 4.2±0.5 mm), which, in turn, was thicker than the fascia of the matched control limbs (3.4±0.5 mm and 3.5±0.6 mm). Pain was correlated with fascial thickness, arch angle, and midfoot loading in the symptomatic foot. Fascial thickness, in turn, was positively correlated with arch angle in symptomatic and asymptomatic feet and with peak regional loading of the midfoot in the symptomatic limb. Discussion and Conclusion: The findings indicate that fascial thickness and pain in plantar fasciitis are associated with the regional loading and static shape of the arch.

Plantar Fascia Rupture Associated with Corticosteroid Injection

1994 ◽  
Vol 15 (7) ◽  
pp. 376-381 ◽  
Author(s):  
John Robert Sellman
Keyword(s):  
Plantar Fasciitis ◽  
Corticosteroid Injection ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Gradual Change ◽  
Resonance Imaging ◽  
Presumptive Diagnosis ◽  
Metatarsal Fracture ◽  
Foot Problems ◽  
Corticosteroid Injections

A series of 37 patients, all with a presumptive diagnosis of plantar fascia rupture, is presented. All had had prior heel pain diagnosed as plantar fasciitis, and all had been treated with corticosteroid injection into the calcaneal origin of the fascia. One third described a sudden tearing episode in the heel, while the rest had a gradual change in symptoms. Most of the patients had relief of the original heel pain, which had been replaced by a variety of new foot problems, including dorsal and lateral midfoot pain, swelling, foot weakness, metatarsal pain, and metatarsal fracture. In all 37 patients, there was a palpable diminution in the tension of the plantar fascia on the involved side, and footprints often showed a flattening of the involved arch. Magnetic resonance imaging done on one patient showed attenuation of the plantar fascia. From these observations and data, the author concluded that plantar fascia rupture had occurred. Treatment following rupture included supportive shoes, orthoses, and time. The majority had resolution of their new symptoms, but this often took 6 to 12 months to occur. In the remainder, there were persisting symptoms. Corticosteroid injections, although helpful in the treatment of plantar fasciitis, appear to predispose to plantar fascia rupture.

scholarly journals Plantar fasciitis - an update

2014 ◽  
Vol 14 (1) ◽  
pp. 3-8
Author(s):  
Purnima Guatham ◽  
Shibili Nuhmani ◽  
Shaji John Kachanathu
Keyword(s):  
Plantar Fasciitis ◽  
Physical Therapists ◽  
Current Knowledge ◽  
Weight Bearing ◽  
Medical Science ◽  
Treatment Strategies ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Medical Attention ◽  
Common Causes

Plantar fasciitis is one of the most common causes of inferior heel pain managed by many physical therapists in variety of clinical settings and wildly treated conservatively. It is usually caused by a biomechanical imbalance resulting in tension along the plantar fascia. It is estimated that 11% to 15% of all foot complaints requiring medical attention can be attributed to this condition. The patient typically presents with inferior heel pain on weight bearing. Pain associated with plantar fasciitis may be throbbing, searing, or piercing, especially with the first few steps in the morning or after periods of inactivity. This article present on overview of the current knowledge on plantar fasciitis and focuses on biomechanics, etiology, diagnosis and treatment strategies, conservative treatment including the physical therapy management are discussed. This information should assist health care practitioners who treat patients with this disorder DOI: http://dx.doi.org/10.3329/bjms.v14i1.17052 Bangladesh Journal of Medical Science Vol.14(1) 2015 p.3-8

scholarly journals NORMAL PLANTAR FASCIA THICKNESS IN ADULT

2022 ◽  
Vol 8 (1) ◽  
pp. 16-20
Author(s):  
Yusak Mangara Tua Siahaan ◽  
Pricilla Yani Gunawan ◽  
Jeffry Foraldy Haryanto ◽  
Veli Sungono
Keyword(s):  
Plantar Fasciitis ◽  
Plantar Fascia ◽  
Cross Sectional Study ◽  
Heel Pain ◽  
Sectional Study ◽  
Normal Range ◽  
Cross Sectional ◽  
Female Ratio ◽  
History Of ◽  
Male To Female

Background: Plantar fasciitis is a common problem caused by thickening of the plantar fascia. The normal plantar fascia thickness ranged between 2-3 mm and it was generally accepted that value more than 4mm was considered pathologic. Objective: to identify normal plantar fascia thickness in adults using ultrasonography. Methods: This is a cross sectional study measuring the thickness of plantar fascia in 145 subjects with no history of heel pain. Plantar fascia thickness was measured in both feet using an ultrasound. Age, height and weight were recorded and analysed. Results: As much as 145 subjects were included in this study. Male to female ratio was 0.7. Mean age was 44 and body mass index (BMI) was mostly within normal range. Plantar fascia thickness in male was 2.71 ± 0.48 mm in right foot, and 2.74 ± 0.47 mm in left foot. Fascia thickness in female was 2.55 ± 0.50 mm in right foot, and 2.57 ± 0.45 mm in left foot. There was a significant plantar fascia thickness difference between male and female (p = 0.035 in right foot, and p=0.04 in left foot). Age, weight and BMI had a significant correlation towards plantar fascia thickness. In multivariate analysis, age and BMI revealed to have a linear correlation to plantar fascia thickness Conclusion: Age and BMI were found to be the best predictive factor of plantar fascia thickness.

PLANTAR FASCIITIS: A NOVEL CROWDSOURCING APPROACH TO DATA COLLECTION AND ANALYSIS

2021 ◽  
pp. 2150023
Author(s):  
Ron Held ◽  
Alexander Blankstein
Keyword(s):  
Data Collection ◽  
Plantar Fasciitis ◽  
Age Of Onset ◽  
Clinical Importance ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Clinical Aspects ◽  
Metatarsal Bones ◽  
Patient Reported ◽  
Reported Data

Plantar Fasciitis (PF) is a disorder of connective tissue that supports the longitudinal arch of the foot. The fascia runs along the sole with insertion to the heads of the metatarsal bones and origin in the calcaneus. It is one of the most frequent diagnoses for patients in general and foot clinics, and one of the common causes for heel pain which may develop into chronic heel pain, change the way we walk and lead to foot, knee, hip or back problems. PF is the most common type of plantar fascia injury. The purpose of this study is to describe the natural history of PF, including the ethnicity, early and main symptoms, aggravating factors, comorbidities and treatments for PF, based on the patient-reported data from active PF community in an online crowdsourcing platform, StuffThatWorks. Analyses were made in order to discover characteristics which have a clinical importance. Totally 3835 patients were included in this retrospective observational study. The results show that crowdsourcing is a valid approach for data collection, as expected results with regard to clinical aspects such as age-of-onset, early and main symptoms were witnessed. Furthermore, the patient-reported data show three characteristics which have a very high clinical relevance: high level of physical activity, being overweight and age. In addition, leads for future studies were established.

Phonophoresis Plus Topical Nitroglycerin or Hydrocortisone for the Management of Plantar Fasciitis, Which Topical Agent is Superior?

2021 ◽  
Vol 10 ◽  
pp. 2072
Author(s):  
Razieh Maghroori ◽  
Shiva Fakhari ◽  
Parisa Taheri
Keyword(s):  
Quality Of Life ◽  
Plantar Fasciitis ◽  
Extended Period ◽  
Plantar Fascia ◽  
Heel Pain ◽  
P Value ◽  
Topical Agent ◽  
Analog Scale ◽  
Topical Nitroglycerin

Background: Plantar fasciitis (PF) is the most common reason for inferior heel pain. Various approaches have been raised for the treatment of PF; however, none had substantial outcomes. The current study aims to assess and compare phonophoresis outcomes plus topical nitroglycerin versus phonophoresis plus topical hydrocortisone for PF management. Materials and Methods: The current study has been conducted on 65 patients with PF diagnosis, among whom underwent ten every-other-day sessions of treatment with phonophoresis plus 20 mg nitroglycerin (n=33) or 20mg hydrocortisone (n=32), respectively. The Modified Roles and Maudsley (RM) score and the visual analog scale (VAS) were compared between the two groups at baseline, three weeks, and two months after the interventions. Besides, the plantar fascia thickness was measured at baseline and two months after the intervention. Results: The baseline RM (P-value=0.067) and pain severity (P-value=0.057) was similar between the two groups, but other assessments revealed the superiority of phonophoresis plus topical nitroglycerin over topical hydrocortisone (P-value<0.05). The reduction in plantar fascia thickness was more in phonophoresis plus nitroglycerin-treated patients as compared to the latter group (P-value<0.001), but the requirement of additional doses of analgesia was remarkably more in hydrocortisone-treated patients (P-value<0.001). Conclusion: Based on the current study, phonophoresis plus topical nitroglycerin was superior to phonophoresis plus topical hydrocortisone in pain relief, improved quality of life, and decreased fascia thickness. However, further investigations are required to achieve the ultimate outcomes for a more extended period.[GMJ.2021;10:e2072] DOI:10.31661/gmj.v10i0.2072

Effect of Foot Orthoses as Treatment for Plantar Fasciitis or Heel Pain

2013 ◽  
Vol 22 (2) ◽  
pp. 130-136 ◽  
Author(s):  
Jordan Anderson ◽  
Justin Stanek
Keyword(s):  
Plantar Fasciitis ◽  
Severe Pain ◽  
Plantar Fascia ◽  
The United States ◽  
Heel Pain ◽  
Foot Orthoses ◽  
Clinical Scenario ◽  
Clinical Question ◽  
Common Cause ◽  
Viable Treatment

Clinical Scenario:Plantar fasciitis is a debilitating and painful problem present in the general population. It most often presents with moderate to severe pain in the proximal inferior heel region and is most commonly associated with repeated trauma to the plantar fascia. Plantar fasciitis, itself, is an injury at the site of attachment at the medial tubercle of the calcaneus, often due to excessive and repetitive traction. Plantar fasciitis is the most common cause of heel pain and is estimated to affect 2 million people in the United States alone.Focused Clinical Question:For adults suffering from plantar fasciitis, are foot orthoses a viable treatment option to reduce pain?

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