Therefore, thickened fascia based on ultrasonography is not an automatic diagnostic finding for plantar fasciitis. Ten of those (43.4% of the total) had symptoms of heel pain. In their study on subjects with normal arches and flexible flatfeet, Huang et al found hypoechoic fascial thickening of 4 mm or greater in the plantar fascia of 15 of 23 flatfooted individuals (65.2%). 8 Imaging is a valuable tool for confirmation of true fasciopathy, though positive imaging studies occur in the absence of plantar fasciitis pain.
Plantar fasciitis can be diagnosed clinically based on subjective and objective findings and without further investigation. This painful condition is more aptly referred to as plantar fasciopathy (a general term for acute and chronic heel pain), plantar fasciosis (particular to chronic heel conditions), or plantar heel pain. 1,3,4,6,7 It is a form of tendinosis characterized by the presence of fibroblasts rather than inflammatory cells, degeneration of collagen, and proliferation of vascular and connective tissues, especially along the medial calcaneal tubercle. 1,4,5 Recent evidence suggests plantar fasciitis is a noninflammatory degenerative condition in the plantar fascia caused by repetitive microtears at the medial tubercle of the calcaneus. Plantar fasciitis-also called runner’s heel, heel spur syndrome, painful heel syndrome, subcalcaneal pain, chronic plantar heel pain, plantar heel pain, and calcaneodynia 1,2 -is the most prevalent foot pain condition experienced by adults and treated by healthcare providers (11%-15% of service visits), 3 including physical therapists. Limited evidence supports the use of IMT for plantar fasciitis, although further research is needed to rule out a placebo effect.īy Brent Harper, PT, DPT, DSc, OCS, FAAOMPT Inspired by a childhood desire to help patients with diseased muscles lead a more normal life, Christina is fulfilling her dream through her thriving treatment center.Intramuscular manual therapy, also known as dry needling, is hypothesized to relieve pain by modifying tension in connective tissue.
The Abbott Center began in 1991 as a private practice dedicated to the hands-on treatment of chronic pain.
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