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Gastroc recession cured 93.6% of chronic plantar fasciitis

Discussion in 'Biomechanics, Sports and Foot orthoses' started by NewsBot, Aug 1, 2007.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1

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    ORTHO Supersite are reporting:
    Gastrocnemius slide found safe, effective as treatment for chronic plantar fasciitis
    Investigators found that the technique provided significant symptom relief even in patients with a body mass index greater than 30.
     
  2. Admin2

    Admin2 Administrator Staff Member

  3. DaVinci

    DaVinci Well-Known Member

    Haven't we seen a few similarly flawed studies posted in the last week or so? Where is the control group?
     
  4. David Smith

    David Smith Well-Known Member

    NewsBot

    What is a Gastroc slide? (do they have one at Disney World? :D )
    No seriously what is the technique?

    Dave Smith
     
  5. It does beg the question what would have happened had they just unzipped the skin behind the TA, sewn it back up and given the same post op instructions!

    Anyone know what happens to heel pain if you stick the foot in a planterflexed cast for 6 weeks without doing any surgery?

    Also begs the question how were the patients doing a year on! If the cause of the PF was not tight TA oriented i suspect that they'll be quite a few which recur (especially in the BMI>30 brackett)

    As my learned colleague says, a very flawed study.

    Regards
    Robert
     
  6. Scorpio622

    Scorpio622 Active Member

    Hmmm.... This study, although flawed, supports what I have been saying for years. Compliant patients who stretch get better, those that don't stretch do not get better. Most fat patients, in my practice, are far less compliant with self management, especially anything that has to do with exercise. In a couple of years the newly scarred calf will tighten again, the patients will gain more weight, and the success rate will drop from 93.6% to .936%.
     
  7. David Smith

    David Smith Well-Known Member

    "Gastrocnemius slide found safe". --- Hooray!

    A spokesman the Gasroc said "he was found safe and well and living in a shed beside Clapham rail junction." Young Gastroc was later transfered to Great Ormond St Hospital for observation after reporting feeling a little stiff from mild hypothermia and post static dyskinesia. :)

    Dave
     
  8. Colleagues:

    This study does make sense, even though I don't know I would consider it a first line alternative to conservative therapy. I have been very impressed with the clinical results that a few patients have achieved that have had chronic plantar fasciitis who have been otherwise unresponsive to all conservative measures. These patients did get good relief of symptoms with a gastrocnemius recession procedure. Even though I don't personally do this surgery, since plantar fascial tension is directly related to Achilles tendon, it makes sense that reducing the Achilles tendon tension during weightbearing activities has the potential to relieve the pain of plantar fasciitis.

    This procedure could be the next big surgical alternative for plantar fasciitis treatment next to partial plantar fasciotomy..... we just don't know yet what the long term side effects are to gastrocnemius recession, even though the procedure is commonly done for flatfoot reconstructive surgery. Sural nerve injury is the biggest surgical complication so far, to my knowledge.
     
  9. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Proximal medial gastrocnemius release in the treatment of recalcitrant plantar fasciitis.
    Abbassian A, Kohls-Gatzoulis J, Solan MC.
    Foot Ankle Int. 2012 Jan;33(1):14-9.
     
  10. Jose Antonio Teatino

    Jose Antonio Teatino Well-Known Member

    Guns kill fleas, is what we call in my country.
     
  11. Lorcan

    Lorcan Active Member

    What kind of stretching do others give? Static? Dynamic? etc.

    Recently been suggested to me that static stretching has little effect. I've started to give recipricol inhibition stretches and seen good results.
     
  12. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
  13. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Results after gastrocnemius recession in 73 patients
    Marius Molund, Øyvind Paulsrud , Elisabeth Ellingsen Husebye , Fredrik Nilsen , Kjetil Hvaal
    Foot and Ankle Surgery; Available online 24 July 2014
     
  14. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
  15. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Foot Function Index Outcomes of Gastrocnemius Recession for Treatment of Chronic Plantar Fasciitis
    Ashish Shah, MD, Birmingham, AL
    Michael J. Kimball, MD, Jenkintown, PA
    Osama M. Elattar, Birmingham, AL
    Brooks Ficke, MD, Birmingham, AL
    Presented at AAOS Annual Meeting; March 2015
     
  16. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Gastrocnemius Recession for Recalcitrant Plantar Fasciitis in Overweight and Obese Patients
    Brooks Ficke, Osama Elattar, Sameer M. Naranje, Ibukunoluwa Araoye, Ashish B. Shah
    Foot and Ankle Surgery; Article in Press
     
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