Plantar fascia rupture associated with corticosteroid injection

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. [3] During this phase the plantar fascia behaves like a spring, which may assist in conserving energy. In addition, the plantar fascia has a critical role in normal mechanical function of the foot, contributing to the "windlass mechanism". When the toes are dorsiflexed in the propulsive phase of gait, the plantar fascia becomes tense, resulting in elevation of the longitudinal arch and shortening of the foot (see 3A). One can liken this mechanism to a cable being wound around the drum of a windlass (see 3B); the plantar fascia being the cable, the metatarsal head the drum, and the handle, the proximal phalanx .

Sports podiatrists should be cautioned against over-aggressive use of anti-inflammatories in treating the it is tempting to utilize corticosteroid injections to expedite healing, athletes are often skeptical of receiving this treatment and are certainly at greater risk for sequela of over-ambitious use of steroid are reports in the literature of athletes undergoing spontaneous rupture of the plantar fascia after even single injections of their plantar fascia with conservative, biomechanical interventions outlined above should be implemented before considering injection therapy.

The injury is usually quite painful and therefore initial treatment is generally oriented towards pain control with ice, crutches and limited activity. As the symptoms begin to settle, often 4-10 days after the original injury, it may be possible to do more weight bearing, provided that stiff soled comfort shoes or a protective walker boot is used. At this point, gentle plantar stretching can be done.  Non-steroidal anti-inflammatory medication (NSAIDs) or pain medication can help with the symptoms. Return to reasonably normal standing or walking can occur relatively quickly in a few weeks. However, return to high level sports requiring sudden change of direction or explosive power through the plantar fascia region can be quite prolonged, in the order months.

The Fascia-Bar technology present in HTP Heel Seats is the culmination of 30 years of research and is unique on the orthotics market. A clinical study proves Fascia-Bar technology to be twice as effective in promoting healing from Plantar Fasciitis as a leading name brand. HTP Heel Seats realign the biomechanics of the foot, gently stretching and lifting the injured plantar fascia ligament back into a healthy position. At the same time, these remarkable inserts apply therapeutic acupressure to the heel bone, stimulating the body’s natural ability to heal itself. More than 90% of Heel That Pain’s customers experience significant relief from their symptoms.

Plantar fascia rupture associated with corticosteroid injection

plantar fascia rupture associated with corticosteroid injection

The Fascia-Bar technology present in HTP Heel Seats is the culmination of 30 years of research and is unique on the orthotics market. A clinical study proves Fascia-Bar technology to be twice as effective in promoting healing from Plantar Fasciitis as a leading name brand. HTP Heel Seats realign the biomechanics of the foot, gently stretching and lifting the injured plantar fascia ligament back into a healthy position. At the same time, these remarkable inserts apply therapeutic acupressure to the heel bone, stimulating the body’s natural ability to heal itself. More than 90% of Heel That Pain’s customers experience significant relief from their symptoms.

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