• Title, Summary, Keyword: Plantar fasciitis

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A Clinical study on plantar fasciitis (족저근막염에 대한 임상적 고찰)

  • Jung, Byung-Ok
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.7 no.2
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    • pp.57-64
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    • 2001
  • Plantar fasciitis is a common pathological condition of the foot and often be a challenge for clinicans to successfully treat. The purpose of this article is to present and discuss selected literature on the function and anatomy, causes, symptoms and clinical treating methods of plantar fasciitis. A majority of patients with plantar fasciitis present with either a pronated or a cave foot. Pain is usually localized to the plantar medial heel at the attachment of the plantar fascia to the calcaneus. Surgical and nonsurgical techniques have been used in the treatment of plantar fasciitis. Nonsurgical management for the treatment of the symptoms and discomfort associated with plantar fasciitis can be classified into brod categories: reducing pain and inflammation. reducing tissue stress to a tolerable level, and restoring muscle strength and flexibility of involved tissue.

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Clinical Case Report of Plantar Fasciitis by Korean Medicine Treatment (족저근막염에 대한 임상증례보고)

  • Woo, Chang-Hoon;Oh, Min-Seok
    • Journal of Haehwa Medicine
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    • v.22 no.1
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    • pp.217-224
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    • 2013
  • Objectives : The object of this study is to report the effectiveness of Korean medicine treatment and to urge in-depth research on plantar fasciitis. Methods : Four patients, diagnosed as plantar fasciitis, were treated by Korean medicine interventions; acupuncture at K13, BL60, BL40, indirect moxibustion at local region, oral intake herbal medicine and Korean physical therapy on plantar fascia. Visual analog scale(VAS) was adpoted as a method of measuring the effect of treatment on plantar pain. Results : As a result, the plantar pain decreased and VAS score was declined at three cases. However, at one case, the symptom was not changed and VAS score was same. Conclusions : Korean rehabilitative complex therapy can be effectively used for plantar fasciitis. Further studies are needed to set up a rehabilitation protocol with Korean medicine interventions on this disease.

The Clinical Features of Plantar Fascia Rupture (족저근막 파열의 임상양상)

  • Lee, Ho Seong;Lee, Jong Yoon;Jeong, Jae Jung
    • Journal of Korean Foot and Ankle Society
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    • v.21 no.1
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    • pp.17-20
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    • 2017
  • Purpose: The purpose of this study is to analyze the clinical features of plantar fascia rupture. Materials and Methods: We retrospectively reviewed 312 patients with plantar fasciitis between March 2008 and February 2013. We investigated age, sex, site, visual analogue scale (VAS), body mass index (BMI), characteristics of pain, awareness of rupture, and duration of symptoms. Acute rupture was defined as a rupture that occurred during exercise; chronic rupture was defined as a degenerative rupture after plantar fasciitis. We investigated the frequency of acute and chronic rupture. Results: Among 312 patients, 38 patients (12.2%) were diagnosed with plantar fascia rupture. Thirty-eight patients consisted of 14 men (36.8%) and 24 women (63.2%). The mean age of plantar fascia rupture was $58.29{\pm}12.54years$. The mean VAS score was 5.92 points (3~9 points). The mean BMI was $25.92{\pm}1.59kg/m^2$. Among the 38 patients, 2 patients had acute plantar fascia rupture and 36 had chronic plantar fascia rupture. In 34 patients-out of 36 chronic plantar fascia rupture, there were no subjective symptoms. Conclusion: Chronic rupture of the plantar fascia that occurred after plantar fasciitis was more common than acute rupture. Chronic rupture occurred at approximately 12% of patients treated with plantar fasciitis. In chronic rupture of the plantar fascia, there were no subjective symptoms of rupture. Therefore, we should doubt chronic rupture of plantar fascia when plantar fasciitis is prolonged.

Evidence-based use of cold for plantar fasciitis

  • Laymon, Michael S.;Petrofsky, Jerrold S.;Alshammari, Faris;Fisher, Stacy
    • Physical Therapy Rehabilitation Science
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    • v.2 no.2
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    • pp.75-80
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    • 2013
  • Objective: The purpose of this study was to examine the effect of cold applied the night before or in the morning on pain and symptoms of plantar fasciitis. Design: Experimental study. Methods: Thirty subjects with plantar fasciitis were recruited for this study. Subjects with plantar fasciitis either had no intervention, cold applied (20 minutes) at night before bed, or 20 minutes in the morning upon wakening. Plantar fascia tenderness and pain were evaluated. There were ten subjects in each group. Measures included visual analog scale, plantar facial thickness via high resolution ultrasound, algometer measure, and range of motion of the ankle and foot. There were 3 groups of 10 subjects, control (no intervention), cold the night before bed, and cold in the morning before rising. Results: The greatest relief of symptoms was cold used at bedtime the night before the measurements. Cold used in the morning was not as effective as cold used in the evening before bed. Cold use reduced the thickness of the plantar fascia and irritation. There was a 13% reduction in plantar fascia thickness with cold the night before (p<0.05), a 44% reduction in pain and an 86 % increase in the force that could be applied to the bottom of the foot without pain (p<0.05). Conclusions: Cold applied for 20 minutes prior bedtime is effective for reduced symptomology caused by plantar fascia inflammation.

Acupuncture Treatment of Plantar Fasciitis: A Literature Review (족저근막염의 침치료에 대한 국내외 연구동향 분석)

  • Koh, Nak-Yong;Kim, Chang-Gon;Ko, Youn-Suk;Lee, Jung-Han
    • Journal of Korean Medicine Rehabilitation
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    • v.25 no.2
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    • pp.97-110
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    • 2015
  • Objectives Plantar fasciitis is one of the most common causes of heel pain. Plantar fasciitis can be managed with acupuncture, but the evidence for its effectiveness is uncertain. The aim of this review was to assess the effectiveness of acupuncture for plantar fasciitis. Methods I searched specific Korean and foreign electronic databases (KCI, RISS, NDSL, OASIS, KTKP, National Assembly Library, KMbase, PubMed, The Cochrane Library and China National Knowledge Infrastructure). The key search terms were 'heel pain', 'plantar fasciitis' and 'acupuncture'. Twenty-seven trials were included; eleven case reports, fourteen randomized controlled trials (RCTs) and two non-randomized controlled trials (NRCTs). Results Twenty-seven studies reported that acupuncture treatment reduced plantar fasciitis pain. However, the evidence provided by the case reports was regarded as weak because the methodological quality was poor, and the placebo effect of acupuncture was not accounted for in the RCTs and NRCTs. Overall, the methodological quality of the RCTs and NRCTs was weak. Conclusions There is some evidence for the effectiveness of acupuncture for plantar fasciitis. However, in order to reinforce the evidence for acupuncture's effectiveness, additional placebo-controlled trials with well-designed methodologies are required.

Ultrasonographic Appearances of the Plantar Fasciitis (족저 근막염의 초음파 영상학적 형태)

  • Hong, Seung-Hwan;Chu, In-Tak;Chung, Hyun-Woo
    • Journal of Korean Foot and Ankle Society
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    • v.11 no.2
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    • pp.145-148
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    • 2007
  • Purpose: This retrospective study was designed to evaluate the appearances of plantar fasciitis by ultrasonography. Materials and Methods: 48 cases of unilateral plantar fasciitis were enrolled in this study. Plain radiograph and realtime sonography of both feet were perfomred and the results were compared between the affected feet and controlateral symptomless feet. Calcaneal spur were observed on plain radiograph and thickness of plantar fascia, hypoechogenecity, blurring of border of plantar fascia, perifascial effusion, wavy plantar fascia were observed on sonography. Results: Women (35 cases) and left feet (30 cases) were more frequent than men and right feet. Thickness of plantar fascia in affected site was thicker than normal site (p<0.01). Hypoechogenecity was observed only in 39 cases (81%) affected site, blurring of border of plantar fascia in affected site was 30 cases (62%) and 7 cases (15%) in normal site, perifascial effusion was observed only in 38 cases (79%) affected site, wavy plantar fascia in affected site was 43 cases (90%) and 2 cases (4%) in normal site. Calcaneal spur in affected site was 36 cases (75%) and 33 cases (69%) in normal site. Conclusion: Sonography is a useful diagnostic procedure for the plantar fasciitis especially in the unilateral plantar fasciitis.

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Two Cases of Plantar Fasciitis Treated with Magnetic Acupuncture

  • Yun, Gee Won;Kang, Jae Hui;Oh, Seo Young;Park, Jung Hwan;Lee, Hyun
    • Journal of Acupuncture Research
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    • v.34 no.1
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    • pp.89-96
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    • 2017
  • Objectives : The aim of the study was to ascertain the effectiveness of magnetic acupuncture in patients with plantar fasciitis. Methods : The patients were treated with magnetic acupuncture using a magnetic therapy stimulator (Whata 153), as well as with moxibustion therapy. Acupuncture treatment was conducted on the acupoints of Ashi-as well as on 太谿 (KI3), 崑崙 (BL60), and 委中 (BL40)-for 15 minutes. The intensity of pain was evaluated using the visual analogue scale (VAS), and the tenderness threshold (TT) was measured at each visit using an algometer. Results : After treatment, evaluation using the VAS had improved, as had the TT; furthermore, plantar fasciitis pain was reduced. Conclusion : Magnetic acupuncture relieved pain in plantar fasciitis. In further clinical study, more research on magnetic acupuncture is required.

The Diagnosis and Treatment of Plantar Fasciitis (족저 근막염의 진단과 치료)

  • Eun, Il-Soo
    • Journal of Korean Foot and Ankle Society
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    • v.20 no.3
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    • pp.93-99
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    • 2016
  • Plantar fasciitis is the most common cause of heel pain. The diagnosis of plantar fasciitis is primarily based on the presentation of symptoms and physical examination. Patients usually complain of heel pain at the medial calcaneal tubercle when taking their first step in the morning or when walking after resting. Diagnostic imaging is rarely required for the initial diagnosis of plantar fasciitis; however, it can be used for differential diagnosis. Conservative treatments, such as stretching, rest, ice massage, oral analgesics, foot orthotics, use of night splint, and corticosteroid injection, may be effective. The majority of patients report improvement with conservative treatments, and those who show no response from conservative treatments for a duration of six months or longer can consider extracorporeal shock wave therapy or surgery.

Comparison Between Functional Taping and Deep Friction Massage on Balance and Gait Ability in patients with Plantar Fasciitis (기능적 테이핑과 심부마찰 마사지가 족저근막염 환자의 균형과 보행능력에 미치는 효과 비교)

  • Jung, Sang-mo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.21 no.2
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    • pp.25-31
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    • 2015
  • Background: A chronic condition that has a fine rupture and inflammation that occurs in the plantar fascia medial calcaneal origin or occur during the rough part is called plantar fasciitis heel pain plantar fasciitis. Using functional taping to fix the subtalar joint were investigated through an experiment for how much the elastic taping effect than applying it to correct by applying the inelastic taping. This study was performed to change the balance and walking ability shown by the groups that do not apply to the application of the functional group taping. Methods: 20 people functional taping group 10 patients, deep friction massage was applied to the group to 10 people. The duration of the experiment were divided into groups going deep friction massage and the month after you apply before applying the functional taping. Results: Analysis showed statistically significant improvement in all time in both groups. All functional taping group and deep friction massage group had no significant difference with respect to balance and walking ability. Conclusion: When you saw the results of this study showed functional taping group is plantar fasciitis is the patients for treatment to mark fasciitis patients than those applying deep friction massage effects that increase is believed to help the symptoms of recovery.

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Two Clinical Cases on Plantar Fasciitis Using Myofacial Releasing Therapy and Acupuncture Therapy (족저근막 이완요법과 침치료를 이용한 족저근막염 치험 2례)

  • Hwang, Hyung-Joo;Lee, Kil-Joon;Park, Young-Hoi;Keum, Dong-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.18 no.2
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    • pp.111-118
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    • 2008
  • Objectives : Plantar fasciitis is most common cause of heel pain which starts from anterior tubercle of calcaneus. It is chronic inflamation of plantar fascia, reduces collagen and water content of heel pad which incur the degenerative changes with elastic fiber weakness. We have evaluated the effect of myofacial releasing therapy and acupuncture therapy by experimenting two patients suffering from plantar fasciitis. Methods : Two patients were diagnosed as plantar fasciitis through their symptoms. We used myofacial releasing therapy and acupuncture therapy to the patients and measured VAS(Visual analogue scale). Results and Conclusions : After treating myofacial releasing therapy and acupuncture therapy in two cases, We figured out that the patients were on the mend. These results suggest that myofacial releasing therapy and acupuncture therapy were effective to heel pain.