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MSK 2 > Plantar Heel Pain (2) > Flashcards

Plantar Heel Pain (2) Flashcards

1
Q

What is plantar heel pain?

A

Pain arising from insertion of plantar fascia

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2
Q

What percentage of plantar heel pain is symptomatic?

A

89%

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3
Q

What percentage of plantar heel pain is asymptomatic?

A

39%

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4
Q

What are characteristics of plantar heel pain?

A

Progressive pain with weight bearing

Pain with 1st steps in the morning

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5
Q

What are risk factors of plantar heel pain?

A

Limited dorsiflexion

Prolonged standing

BMI > 30

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6
Q

What is plantar heel pain associated with?

A

Poor shock absorption

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7
Q

What are some potential underlying factors of plantar heel pain?

A

Pes planus

Cavus foot with tight fascia

Sudden increase in frequency, intensity, and duration of activity

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8
Q

Why would a calcaneal spur develop?

A

Chronic pull of fascia on calcaneus

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9
Q

What are tests associated with plantar heel pain?

A

Positive windlass test

Negative tarsal tunnel test

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10
Q

What is most effective for interventions on plantar heel pain?

A

Manual therapy combined with exercise

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11
Q

What are grade A interventions for plantar heel pain?

A

Stretching

Taping

Foot orthoses

Night splints

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12
Q

What is the target tissue for stretching in plantar heel pain?

A

Plantar fascia

Gastroc/soleus (short term relief)

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13
Q

What type of benefit is taping in plantar heel pain?

A

Short term

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14
Q

What type of benefit is foot orthoses in plantar heel pain?

A

Short to long term

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15
Q

How long should a night splint be used in someone with plantar heel pain?

A

1-3 months

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16
Q

Fat pad syndrome

A

Age related or trauma induced degenerative of fat pad (reduced cushioning)

17
Q

Tarsal tunnel syndrome

A

Compression of posterior tibial nerve

18
Q

What causes Calcaneal stress fracture?

A

Increase in load on bones

Falls/impact

19
Q

What is posterior Tibialis dysfunction?

A

Pain and Inflammation along posterior Tibialis tendon

20
Q

What are characteristics of posterior Tibialis dysfunction?

A

Pain with weight bearing which eases through day

Push off deficits

MSK 2 (21 decks)

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