Talk:Plantar fasciitis

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[edit] Comment

Article needs a picture or diagram to help. DyslexicEditor 09:41, 12 May 2006 (UTC)

,

The article on the foot already carries this picture, but this does not show the plantar facia itself (immediately under the skin and sub-dermal layer), nor where the pain is usually experienced along it (namely at its attachment over the front edge of the heal bone). So I'm not sure if this would help further this article or not - what do others think ? David Ruben Talk 12:22, 12 May 2006 (UTC)

Hmmm... I think it needs a diagram then. The foot article has many pictures of feet, but their best diagram Image:Foot.png is lacking. This picture of a skeleton Image:Foot-bones.jpg, if it was photoeditted to be labbelled might be good--I don't know if it is okay to edit a GFDL with labels and upload it, though. DyslexicEditor 12:40, 12 May 2006 (UTC)

[edit] ultrasound

The article currently says:

Therapeutic ultrasound, with or without iontophoresis, and more recently, extracorporeal shockwave therapy (ESWT) have been used with some success in patients with symptoms lasting more than 6 months.

However, the title of the article referenced seems to indicate that it's only about ESWT. I've added a reference to a controlled study that showed that ordinary therapeutic ultrasound was not effective, and changed the text appropriately.--75.83.140.254 21:05, 1 January 2007 (UTC)


[edit] Reebok DMX Shoes

While Reebok DMX shoes are not a cure, they provided me instant relief from the pain of plantar fasciitis.

I had plantar fasciitis a few years ago from too much standing on a ladder without using steel shanked boots while remodelling a home for 5 years. My podiatrist prescribed me anti-pronating inserts, stretches, Reebok DMX shoes and steel shanked boots for times when I would be on a ladder in the future. I went straight from her office to get the Reeboks and even without the inserts, the shoes allowed me to instantly walk normally again. I just found out a co-worker was suffering from this affliction and encouraged him to find some of these shoes. This also reminded me to share my experience here. What makes these shoes so soft is they contain two air bladders connected by a small straw. One bladder is at the front of the shoe and one is at the back. As you walk, air is forced through the resistance of the small straw, giving a very soft landing on each step. As far as I know, only the Reebok DMX shoes are constructed in this way.

See also The American Academy of Podiatric Sports Medicine http://www.aapsm.org/walkingshoes.html for a longer list of shoes approved by this organization.

Laughingskeptic 18:44, 14 January 2007 (UTC)

Here's my experience when I got it in 2004, posted on the uk.rec.walking newsgroup - [1]. Occasional minor reoccurences (and new occurence on other foot) since, easily controlled with stretching. -- John (Daytona2 · talk) 18:20, 30 December 2007 (UTC)

[edit] Weight on the heel

"Weight on the heel does not cause plantar fasciitis."

This is an odd claim! It might be technically correct, but it is hard to believe that heel weight would not at least aggravate the condition, since that is where it is usually felt. If this claim remains in the article, it should have a reference supporting it.-69.87.200.231 13:08, 13 July 2007 (UTC)

"Running long distances or putting repetitive pounding on the heel of the foot during exercise often are huge factors that can add excessive stress to the heel of the foot, therefore contributing to development of plantar fasciitis." "Additional and unnecessary strain on the heel will aggravate the area even more, and cause the pain to become even more severe." [2] -69.87.200.231 13:17, 13 July 2007 (UTC)

The claim does not strike me as odd, as it is traction on the attachment of the plantar fascia to the end of the heel bone, and not pressure on the bone itself, that produces the pain. Many cases, in fact, result from walking or running barefoot on the beach, where the bone itself is well-cushioned by the sand but the fascia of the arch is stressed by having to "pull" the heel up out of the sand with each stride that causes the problem. Sfahey 03:57, 28 August 2007 (UTC)

[edit] Spelling of Plantar Fasciitis

My podiatrist calls it "Planar Fascitiis" on the internet it is also spelled "Planar Fascitiis" and other numerous spellings.

Perhaps someone knows how to link up additional spellings to this entry as I have almost started a new entry on the subject.

Thanks Astrocloud 19:07, 26 August 2007 (UTC)

You need a new podiatrist. It is quite clearly "plantar", referring to the underside of the foot, as in "plantar warts". re: the internet: googling "nucular" yields 173,000 hits, but doesn't make it right. Sfahey 03:53, 28 August 2007 (UTC)

[edit] Acupuncture

The article used to say: "It should be noted that acupuncture has not been scientifically proven to be an effective treatment for any condition, and that pain is highly subjective and subject to placebo effects."

This is not true. A very quick search releaved, just in the last few weeks, at least three peer-review article on the effects of acupuncture:

Acupuncture in Polycystic Ovary Syndrome: Current Experimental and Clinical Evidence. Stener-Victorin E, Jedel E, Mannerås L., Institute of Neuroscience and Physiology, Department of Physiology, Sahlgrenska Academy, Göteborg University, Sweden. (Journal of Neuroendocrinology, 2007 Nov 28)

Monitoring of neuromuscular blockade at the P6 acupuncture point reduces the incidence of postoperative nausea and vomiting.Arnberger M, Stadelmann K, Alischer P, Ponert R, Melber A, Greif R., Department of Anesthesiology, Inselspital, University Hospital Bern, Switzerland. (Anesthesiology. 2007 Dec;107(6):903-8)

Laser acupuncture in children with headache: A double-blind, randomized, bicenter, placebo-controlled trial.Gottschling S, Meyer S, Gribova I, Distler L, Berrang J, Gortner L, Graf N, Shamdeen MG., University Children’s Hospital, Department of Pediatric Hematology and Oncology, Saarland University. (Pain. 2007 Nov 15) —Preceding unsigned comment added by 216.16.236.150 (talk) 19:43, 4 December 2007 (UTC)


[edit] Stretch EZ

Another product recommended for treating plantar fasciitis is the Stretch EZ. It was developed for athletes to help stretch their legs, hips, and lower back. Also, it has been proven to increase flexibility and prevent injury. It is endorsed by Physical Therapists that have used Stretch EZ to treat sports related injuries and conditions such as plantar fasciitis with positive results. There are many product reviews such as the one on :http://www.killerlifestyle.com/wp02/2007/10/29/product-review-stretch-ez/ (MarkH45 (talk) 00:46, 31 May 2008 (UTC))

[edit] Explanation of Changes

I made several changes. Potentially controversial changes I'll justify here.
1) removed link to a web site selling products with only one minor sentence being used as justification for the link.
2) removed newspaper link that was redundant
3) changed the ESWT link to a more professional and faster website that isn't loaded with ads.
4) deleted odd comment not justified in the new ESWT link ("brain no longer receives signals")
5) removed link to the picture because the data for the statistics in it comes from a non-peer-reviewed web site selling products ([3])
6) removed newspaper link that referenced a small study on glucosamine. The bottom of the heel isn't a joint, so i don't know why someone was looking into that. Also, the reference didn't mention glucosamine. I imagine a mess if every small study with an odd claim was listed.
7) provided reference for the needle fasciotomy and shortened the comments since the prior sentence says surgery is a last resort and therefore the needle fasciotomy should not be given more space than "first resort" treatments.
8) moved "lessen pressure under the balls of the feet" to an appropriate area to fix bad text flow. Also improved explanation.
9) removed reference to acupuncture. If acupuncture is listed, more alternative treatments should be listed like: prolotherapy, cryosurgery, glucosamine, rolfing, epsom salts, iontopheresis with acetic acid, magnets, and light therapy, none of which have any significant study and do not deserve more than a sentence for each. —Preceding unsigned comment added by 24.214.120.227 (talk • contribs) 22:20, 8 March 2008

Personally I liked the image. OK site supports itself commercially, but it is a detailed site and general seems sensibly written (with caveats to particular views). OK a self-reported survey, but primary focus on calcaneum attachment and less extend further along the sole matches my clinical impression (but I certainly in mind have no fixed % values for the distribution). I've restored the image, shortening the caption, but added as footnote that a self-reported survey. Whilst I've provided the link to the web site, you'll note I left it as an inline link rather than give specific promotional value to the site's name - is this acceptable ? David Ruben Talk 23:26, 8 March 2008 (UTC)