PlantarFasciopathy Flashcards
1
Q
What is plantarfascia
A
-thick, broad inelastic band of fibrous tissue that runs along the bottom of foot
2
Q
Where does Plantarfascia attach and insert
A
- attach to calcaneus
- inserts in bottom of metatarsal bones
3
Q
What is the function of plantarfascia
A
- support for longitudinal arch
- shock absorption
4
Q
What is plantarfasciopathy
A
- overuse of plantarfascia at attachment
- collagen disarray in the absence of inflammatory cells
- heel spur syndrome
- occurs in runners
5
Q
What is the mechanism of injury
A
- repeated trauma
- activities requiring max PF of ankle and simultaneous DF of metatarsalphalangeal joints
- tightness of proximal structures - calf, hamstring, glutes§
6
Q
what are the risk factors /causes
A
- pes planus
- pes cavus
- age
- running on hills
- poor arch support in shoes
- rapid change in activity level
- overweight
- decrease dorsiflexion
- muscle imbalance
7
Q
what are the symptoms
A
- 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
8
Q
what are the signs
A
- acute tenderness medial tuberosity of calacneus
- platar fascia tightness
- excessive supination/pronation
- decrease calf and hip strength
- decrease single leg balance
9
Q
What investigations would take place
A
- ultrasound - gold standard, swelling of PF, thickness may be measured
- MRI - increased signal intensity + thickening at PF attachment to calcaneus at medial calcaneal tuberosity
10
Q
What conservative treatment
A
-avoid aggravating factors
-ice
stretching on platar fascia, gastroc and soleus
-massage
-taping
-NSAID’s
-podiatry Ax
-footwear with well supported arches
-orthoses
-night splints
corticosteroid injection
11
Q
When would you consider surgery
A
-rigid cavus foot whose PF is shortened + thickened
