Is there any literature on the prevalance of Plantar Fasciitis occurring as a complication of a achilles tendon rupture. I have a patient who rupture his TA back in October 2008. Initially treated by Plaster for the first three weeks , then moon boot for the next 2 months then heel raises externally on his shoes and Physio. Physio comprised of ultrasound,massage and calf raises. Over the last 6 weeks as his activity increased he has developed plantar facial pain.
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He is covered by our accident insurance cover But our provider of this insurance is disputing the claim for plantar fasciitis saying it is a gradual process injury. In my first correspondence to them regarding this I made the comment that "I have seen plantar fasciitis conditions occurring post Achilles tendon ruptures due to the compensatory process within the foot" I mean that due to the lack of ankle dorsiflexion the foot compensates by pronating producing the plantar fasciitis.
This insurance company's medical advisor has been unable to find any literature supporting this. They what me to provided the literature to support this claim.
My comment was made on an understanding of lower limb biomechanic's and observations made in clinical practise.
Therefore, Can anybody provide me with any literature or reference to literature that will help support this claim so I can correlate it and send it on to the insurance company.
Much appreciated
Ian Graham
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