Talalgia: plantar fasciitis

Abstract

Plantar fasciitis is a very common painful syndrome, but its exact etiology still remains obscure. The diagnosis is essentially clinical, based on history-taking and physical examination. Complementary laboratory tests and imaging examinations may be useful for differential diagnoses. The treatment is essentially conservative, with a high success rate (around 90%). The essence of the conservative treatment is the home-based program of exercises to stretch the plantar fascia. Indications for surgical treatment are only made when the symptoms persist without significant improvement, after at least six months of conservative treatment supervised directly by the doctor.

Radiofrequency Thermal Lesioning and Extracorporeal Shockwave Therapy: A Comparison of Two Methods in the Treatment of Plantar Fasciitis

“…2 The disease results from the cumulative effect of recurrent microinjuries and chronic damage in the plantar aponeurosis at the insertion of the plantar fascia on the medial process of the calcaneal tuberosity. 2,3 Pain often is localized in the origin and distal part of the plantar aponeurosis, and patients usually suffer from severe pain during the first few steps out of bed in the morning and during the first loading after a prolonged rest. 2,3 In addition, the severity of pain may increase with loading and become progressively more severe during daily activities.…”

“…2,3 Pain often is localized in the origin and distal part of the plantar aponeurosis, and patients usually suffer from severe pain during the first few steps out of bed in the morning and during the first loading after a prolonged rest. 2,3 In addition, the severity of pain may increase with loading and become progressively more severe during daily activities. 2,3…”

“…2,3 In addition, the severity of pain may increase with loading and become progressively more severe during daily activities. 2,3…”

Espondilite anquilosante no sexo feminino associado à hipermobilidade articular e HLA-B27 negativo

“…Acomete especialmente corredores e homens dos 40 aos 70 anos. Na maioria dos pacientes o tratamento é conservador direcionado para reduzir o processo inflamatório com a indicação do repouso e uso de AINES 10 . A dor nos pés relacionada à EA é mais prevalente em indivíduos do sexo masculino 7 .…”

Outcome of Corticosteroid Injections, Extracorporeal Shock Wave Therapy, and Radiofrequency Thermal Lesioning for Chronic Plantar Fasciitis

“…36 Based on the natural course of the disease, nonsurgical treatments are usually administered, including rest, cold and warm water compression, plantar stretching exercises, braces and orthoses, nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroid injections (CSIs), platelet-rich plasma (PRP) injections, botulinum toxin injections, transcutaneous electrical nerve stimulation, cryotherapy, radiofrequency thermal lesioning (RTL), and extracorporeal shock wave therapy (ESWT). 3,7,19,36 Nonsurgical management of PF is successful in approximately 90% of patients. 3,18 Surgical procedures, including the removal or release of the fascia and removal of bone spurs, are indicated if conservative treatment fails after 6 months to 1 year.…”