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A plantar fascial rupture, is a painful tear in the plantar fascia. The plantar fascia is a connective tissue that spans across the bottom of the foot. [1] The condition plantar fasciitis may increase the likelihood of rupture. [2] A plantar fascial rupture may be mistaken for plantar fasciitis or even a calcaneal fracture.
A 60–80% success rate has been achieved in clinical studies, equal to or exceeding the success rate for surgical neurectomy, with fewer risks and less significant recovery. If done with more concentrated alcohol under ultrasound guidance, the success rate is considerably higher and fewer repeat procedures are needed. [17]
Most cases of plantar fasciitis resolve with time and conservative methods of treatment. [4] [7] For the first few weeks, those affected are usually advised to rest, change their activities, take pain medications, and stretch. [4] If this is not sufficient, physiotherapy, orthotics, splinting, or steroid injections may be options. [4]
If you have plantar fasciitis, Dr. Sutera recommends shoes that offer cushion, arch support and a deep-seated heel cup. (Even having cushioned slippers at home can help.)
The OssaTron is a high energy shock wave system that provides a non-surgical alternative for patients diagnosed with chronic proximal plantar fasciopathy (severe heel pain), usually referred to as fasciitis.
Plantar fasciotomy is an endoscopic procedure. The physician makes two small incisions on either side of the heel. An endoscope is inserted in one incision to guide the physician. A tiny knife is inserted in the other. A portion of the fascia near the heel is removed. The incisions are then closed.
The pain occurs the moment you step out of bed. After a few hours, the pain does subside but can return after prolonged periods of standing. Plantar fasciitis is most common in runners, obese individuals, women who are pregnant and those who wear shoes with inadequate heel support. The treatment of this agonizing disorder involves pain control ...
The plantar fascia also has an important role in dynamic function during gait. It was found the plantar fascia continuously elongated during the contact phase of gait. It went through rapid elongation before and immediately after mid-stance, reaching a maximum of 9% to 12% elongation between mid-stance and toe-off. [5]