Patient:
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24 years old, white male, normal weight, non-smoker, moderate/heavy drinker (10-15 a week), no illnesses, no significant family history.
Sxs:
BILATERAL plantar pain ongoing for 6+ years, claims pain originates AROUND aponeurosis attachment, traveling to the rest of the sole the longer subject stands still. When standing still, pain appears wherever patient places weight. Sxs subside when patient starts walking. No pain in the morning and pain is LEAST after resting.
Plantar Fasciitis (PF) diagnosed various times by various physicians but subject has not responded to ANY PF treatments and remedies. MR from previous podiatrist reportedly normal.
No pain reported while palpating. Aponeurosis quite stiff. Calves a bit stiff, but patient reports having tried stretching them for 6 months a year before, with no improvement. ROM normal.
Patient reports SLIGHT relief (longer time before sxs appear) using insoles built for flat arches. He also reports that Nike Free 5.0 (shoes) procures sxs faster than other shoes.
The abnormal sxs of subject is what puzzles me and it would be dubious to diagnose PF with such conflicting sxs. Anyone treated a patient like this?
Negative for Tarsal Tinel's. Pain seems structural in nature.
<
Association of Chronic Plantar Heel Pain with Foot Posture
and Functional Limitation
|
Conservative Treatments vs Local Steroid Injection in the Management of Planter Fasciitis
>
<
Association of Chronic Plantar Heel Pain with Foot Posture
and Functional Limitation
|
Conservative Treatments vs Local Steroid Injection in the Management of Planter Fasciitis
>
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