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Plantar fasciitis causes

Discussion in 'General Issues and Discussion Forum' started by pnzexec, Feb 18, 2010.

  1. pnzexec

    pnzexec Welcome New Poster


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    The New Zealand Accident Compensation Corporation (ACC) is a state-owned corporation which covers the cost of treatment for accident-related injuries.

    Up to now, ACC has paid for orthoses for people who have developed plantarfasciitis during work or when playing sports. In a recent case, ACC have decided plantarfasciitis is a degenerative disease and therefore not caused by a single accident / trauma.

    The case invovles a 60 year old man who developed pain in both feet while playing tennis. He has had no history of foot pain prior to this, and he recalls when the pain started during his tennis match.

    There are many studies on the development and treatment but are there any studies to support his claim that plantarfasciitis can be caused by a single trauma event? What is the general view on causes of this condition?
     
  2. Admin2

    Admin2 Administrator Staff Member

  3. I´m not sure about studies and not really sure that Plantar fasciitis is often caused by a single trauma, but definently there could be some sort of partial rupture of the fascia which may give of similar symptoms. An utrasound maybe a way of finding out whats is the cause of his pain.
     
  4. Heres some reading for you as well.

    Check out this thread

    http://www.podiatry-arena.com/podiatry-forum/showthread.php?t=10449

    Hope it helps
     

    Attached Files:

  5. Here in California, the diagnosis of plantar fasciitis is standardly allowed as an acceptable workman's compensation injury if the injured worker works in a primarily weightbearing occupation and has no other significant risk factors such as being obese or being an athlete also. Plantar fasciitis symptoms also regularly occur with contusions to the heel, such as falling off a ladder and landing on the heel. Chronic plantar fascial pain may also occur with plantar fascial tears which most commonly occur with activities such as climbing, squatting, running and can occur in individuals that fall from a height or have a crush injury of the foot.

    A 60 year old man that developed pain while playing tennis likely either has developed microtears or a larger tear in his plantar fascia and this injury is a common occurrence in this age group of tennis players. The cause in this specific situation is multifactorial including the following factors:

    1. Age
    2. Weight
    3. Intensity and frequency of activity
    4. Foot morphology
    5. Shoe history
    6. Training errors
    7. Coexisting health issues
    8. Prior history of plantar fascia injury/trauma

    To say plantar fasciitis only occurs as a result of degenerative disease is ridiculous. That is like saying that tibial stress fractures only occur as a result of degenerative disease of the tibia. Plantar fasciitis can certainly be degenerative, but repetetive microtrauma and single event macrotrauma make up at least 90% of the cases of plantar fasciitis I see in my busy podiatric practice.

    Hope this helps.
     
  6. pnzexec

    pnzexec Welcome New Poster

    Thanks for those responses. They have been very useful.
     
  7. pnzexec

    pnzexec Welcome New Poster

    Plantarfaciitis causes

    Thanks to those who sent literature about plantarfasciitis / plantarfasciosis. The New Zealand Accident Compensation Corporation has dropped its claim and has agreed to meet the cost of the orhtoses, as well as pay the claimant for legal expenses.
    The case did show there is a wide range of beliefs over the cause of plantarfasciitis, with most agreeing there are a number of possible causes including degeneration, microtrauma and tears to the plantar aponeurosis. I have scheduled a meeting with the ACC to discuss ways we could work together to study this further. It will be interesting to see their response. If others are planning research in this area (that is the cause, not treatment) please let me know at pnzexec@ihug.co.nz
    Cheers:drinks
     
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