How to Manage Plantar Fasciitis

Ryan, G A

doi:10.1002/9780470988732.ch30

Cited by 5 publications

(9 citation statements)

References 40 publications

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“…Lynch et al 7 compared an antiinflammatory therapy, accommodative therapy (viscoelastic heel cup), and mechanical therapy, and a statistically significant difference in visual analogue scale (VAS) score change was found in the mechanical therapy group compared with the accommodative therapy group, indicating that biomechanical studies do not support the use of heel cups in the treatment of plantar fasciitis. 3 The authors of the article also list podiatric rigid orthosis as a nonvalidated treatment; we believe that relates to customized orthosis, which has been considered a "nonvalidated treatment," according to the article by Pfeffer et al 2 ; however, in this study, the differences in pain reduction were not statistically significant between the treatment groups, and the results could have been achieved at random. In relation to the casting technique, 2 Kirby 8 criticized the Pfeffer study, pointing out that if the laboratory that conducted the custom foot orthoses provided an instructional video on casting technique, it assumes that the professionals who performed the casting did not have prior knowledge of the proper foot orthoses negative casting technique 2,8 and may not have attained the expertise gained from a learning curve 8 through repetition of a task.…”

Section: Dear Editorsmentioning

confidence: 63%

“…2 Furthermore, the trial had no control group, so the program's effectiveness cannot be assessed. 3 A clinical trial by DiGiovanni et al 4 showed that patients who had been treated with plantar fascia stretching presented better (statistically significant) results with regard to pain compared with the Achilles tendon stretching group. But because there was no group control, it cannot be known if the improvement in the Achilles group was due to orthoses and nonsteroidal anti-inflammatory drugs or from the condition's being self-limited.…”

Section: Dear Editorsmentioning

confidence: 99%

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Letter to the Editor

Campos¹,

Ortega-Díaz²

2008

Foot & Ankle Specialist

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Section: Dear Editorsmentioning

confidence: 63%

Section: Dear Editorsmentioning

confidence: 99%

Letter to the Editor

Campos¹,

Ortega-Díaz²

2008

Foot & Ankle Specialist

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“…2 Though the term PF seems to indicate an inflammatory process, recent findings suggest it to be a chronic degeneration causing marked thickening and fibrosis of the plantar fascia along with collagen necrosis, chondroid metaplasia, and calcification. [2][3][4] It mainly results from constant strain on the plantar fascia at its insertion into the medial tubercle of the calcaneus. 3 Main causes are prolonged standing and improper footwear.…”

Section: Introductionmentioning

confidence: 99%

“…It may also occur after prolonged weight-bearing or stressful activity. 3,4,6 It is often self-limited; up to 80% of patients may improve within 1 year. 7 Initial treatment consists of the application of ice, heat, massaging and stretching, restriction of prolonged standing, and use of arch supports.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of Individualized Homeopathic Medicines in Plantar Fasciitis: Double-blind, Randomized, Placebo-Controlled Clinical Trial

et al. 2021

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Introduction Plantar fasciitis (PF) is a chronic degenerative condition causing marked thickening and fibrosis of the plantar fascia, and collagen necrosis, chondroid metaplasia and calcification. There is little convincing evidence in support of various approaches, including homeopathy, for treating PF. This study was undertaken to examine the efficacy of individualized homeopathic medicines (IHMs) compared with placebo in the treatment of PF. Methods A double-blind, randomized, placebo-controlled trial was conducted at the outpatient departments of Mahesh Bhattacharyya Homoeopathic Medical College and Hospital, West Bengal, India. Patients were randomized to receive either IHMs or identical-looking placebo in the mutual context of conservative non-medicinal management. The Foot Function Index (FFI) questionnaire, as an outcome measure, was administered at baseline, and every month, up to 3 months. Group differences (unpaired t-tests) and effect sizes (Cohen's d) were calculated on an intention-to-treat sample. The sample was analyzed statistically after adjusting for baseline differences. Results The target sample size was 128; however, only 75 could be enrolled (IHMs: 37; Placebo: 38). Attrition rate was 9.3% (IHMs: 4, Placebo: 3). Differences between groups in total FFI% score favored IHMs against placebo at all the time points, with large effect sizes: month 1 (mean difference, −10.0; 95% confidence interval [CI], −15.7 to −4.2; p = 0.001; d = 0.8); month 2 (mean difference, −14.3; 95% CI, −20.4 to −8.2; p <0.001; d = 1.1); and month 3 (mean difference, −23.3; 95% CI, −30.5 to −16.2; p <0.001; d = 1.5). Similar significant results were also observed on three FFI sub-scales (pain%, disability%, and activity limitation%). Natrum muriaticum (n = 14; 18.7%) and Rhus toxicodendron and Ruta graveolens (n = 11 each; 14.7%) were the most frequently prescribed medicines. No harms, serious adverse events, or intercurrent illnesses were recorded in either of the groups. Conclusion IHMs acted significantly better than placebo in the treatment of PF; however, the trial being underpowered, the results should be interpreted as preliminary only. Independent replications are warranted. Trial registration: CTRI/2018/10/016014.

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Physeal-sparing ACL reconstruction provides better knee laxity restoration but similar clinical outcomes to partial transphyseal and complete transphyseal approaches in the pediatric population: a systematic review and meta-analysis

Pagliazzi

Cuzzolin²,

Pacchiarini³

et al. 2022

Knee Surg Sports Traumatol Arthrosc

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Purpose The aim of this meta-analysis was to evaluate complete transphyseal (CTP), partial transphyseal (PTP), and physealsparing (PS) techniques for anterior cruciate ligament (ACL) reconstruction. Methods A systematic literature search of the PubMed, Web of Science, Cochrane Library, and Scopus literature databases was performed on 10.05.2021. All human studies evaluating the outcomes of CTP, PTP, and PS techniques were included. The inluence of the selected approach was evaluated in terms of rates of retears, return to previous level of sport competition, IKDC subjective and objective scores, Lysholm score, rate of normal Lachman and pivot-shift tests, limb length discrepancy, and hip-knee angle (HKA) deviation. Risk of bias and quality of evidence were assessed following the Downs and Black checklist. Results Forty-nine out of 425 retrieved studies (3260 patients) met the inclusion criteria. The results of the meta-analysis comparing CTP, PTP, and PS approaches for ACL reconstruction in the under 20-year-old population showed a signiicant diference in terms of diferential laxity (CTP 1.98 mm, PTP 1.69 mm, PS 0.22 mm, p < 0.001). No signiicant diferences were seen in terms of growth malalignment, rate of normal Lachman and pivot-shift tests, and rate of normal/quasi-normal IKDC objective score. Conclusions The present meta-analysis found overall similar results with the three ACL reconstruction approaches. The PS technique showed better results in terms of knee laxity than the PTP and CTP approaches, but this did not lead to a signiicant diference in terms of subjective and objective scores. No clear superiority of one technique over the others was found with respect to re-ruptures, growth disturbances, and axial deviations. While the argument for avoiding growth malalignment does not seem to be a crucial point, the PS technique should be the preferred approach in a young population to ensure knee laxity restoration. Level of evidence Level III.

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How to Manage Plantar Fasciitis

Cited by 5 publications

References 40 publications

Letter to the Editor

Letter to the Editor

Efficacy of Individualized Homeopathic Medicines in Plantar Fasciitis: Double-blind, Randomized, Placebo-Controlled Clinical Trial

Physeal-sparing ACL reconstruction provides better knee laxity restoration but similar clinical outcomes to partial transphyseal and complete transphyseal approaches in the pediatric population: a systematic review and meta-analysis

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