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Disorders of the Plantar fascia MRI pictorial Review

Discussion in 'General Issues and Discussion Forum' started by mike weber, Dec 7, 2010.


  1. Members do not see these Ads. Sign Up.
    Came across this Paper today Pictorial review of problems associated with the plantar fascia From 2001, so quite old.

    http://www.ajronline.org/cgi/reprint/176/1/97

    Thought it may be of interest to see some MR images of some of the common things we discuss everyday with patients. might be help to show them whats going on as well Anatomy wise.

    A bit like the plantar plate thread - Plantar plate pictorial thread

    Hope its of use
     
    Last edited: Dec 8, 2010
  2. anDRe

    anDRe Active Member

    Another great post Michael thank you! :good:
    :drinks :santa:
     
  3. drsarbes

    drsarbes Well-Known Member

    Hi Michael:
    Wonderful article, thanks for posting it.
    Steve
     
  4. Michael:

    You are the Podiatric Superman of Sweden!! Thanks for sharing this great article.:drinks
     
  5. Your all very welcome Thanks should got to Mart also as I was looking for information re heel fat pad for him and came across that little gem.

    Glad to share.


    :drinks:santa::drinks
     
  6. musmed

    musmed Active Member

    Dear Team
    Great images of PF.
    One interesting thing is the colour change to the abd hall. This darkened image is present in all cases of PF (per U/sound)
    In the photo page 102, I have copied it to this post.
    You can see the abd hall is very dark while the Fl. digitorum brevis/q. Plantae are the correct colour.
    In u/sound normal is a school boy gray pants colour while the abd. hall is dark gray to black in PF.

    Regards
    Paul Conneely
     
  7. Dr. Bates

    Dr. Bates Member

    This article is very good!
     
  8. jane.e.benson

    jane.e.benson Active Member

    THANK YOU!
     
  9. User7

    User7 Active Member

    Why is the abd ahll. dark?
     
  10. musmed

    musmed Active Member

    Dear User 7

    I do not the exact reason why it is dark. It is something I discovered when studying the abd hall in relationship to PF

    The interesting thing is that it returns to normal colour when dry needled in about 10-20 minutes
    those with trigger points had a crossectional reduction in area of 12.4% in 10 mins and a further 3% reduction in 4-8 weeks when the patients were re scanned

    When studying this muscle we looked at all the muscles of the lower limb within scannig ability we did not find this anywhere else
    another thing we found was that the Abd Hall muscle in 50% of PF people was fibrillating at rest prior to needling.

    Hope this helps. You are the only one who has asked this question.

    i feel this muscle has properties we have yet to discover
    Regards
    Paul Conneely
     
  11. User7

    User7 Active Member

    Hi Paul,

    Thanks. Does the Abd Hall develop trigger points in PF patients simply due to other medial restraints, such as spring ligament, not being up to their tasks? The Abd Hall seems to have the ability to really stiffen the medial arch, especially at contact and into mid-stance, but if it's having to do more than its fair share I imagine it would become quite fatiqued and spasmy.

    What happens to the medial arch after needling Abd Hall in PF patients?
     
  12. Published anywhere ?
     
  13. musmed

    musmed Active Member

    Dear Mark

    I ahve had this on my website for a couple of years.
    There is more data that has not been analysed.
    Like everything else I will get around to it when I have time.

    There are thousands of images of this muscle from this study and all show the same changes.
    The biggest cross sectional area reduction in 10 mins was 38%. All present could see the changes in real time. It was truly amazing to see. No one else came close to this.
    funnily the patient was a stock broker and he spent the entire consultation time ringing peolpe telling them what he was seeing!

    Regards
    Paul Conneely
    www.musmed.com.au
     
  14. Dear Bazza, let me know when it´s been published.
     
  15. musmed

    musmed Active Member

    Bazza!
    Never
    I are of Irish extraction! and you post this before St Patricks day
    makes me want to have another Guiness
    God bless you for the thought!

    (Baaza's surname is Mackenzie!)

    Regards
    Paul Conneely (Irish in part both sides):drinks
     
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