Hi All,
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I currently have a patient who presented with heel pain, and, to spare you all of the boring details, I diagnosed plantar fasciitis and went about the usual process of explaining to the patient the cause, short term treatment and long term treatment options.
This patient was accompanied by Xrays that were previously ordered by the GP showing a large plantar spur, and the GP wants to inject with cortisone. The patient is reluctant to have this treatment and therefore sought Podiatry advice hoping for a "milder" alternative (orthoses anyone?). :D
The patient so far has responded well to short term treatment of ice/tape/supportive shoes, and I have discussed long term treatment with orthoses and how they can help reduce tensile stress on the plantar fascia etc etc, however, she still seems convinced that the spur is the cause of her pain and that cushioning the spur (perhaps with a donut pad as she suggested :rolleyes: ) will solve her heel pain. I have tried to explain that the spur has formed as a result of the ligament tensile force over time, but I feel that I am going around in circles explaining the "hows" and "whys" of the pathomechanics and treatment, and no matter how much I simplify my explanation, she still doesn't seem to understand... :(
My questions is, how do other pods explain to the patient the difference between plantar fasciitis and heels spurs? :confused: How much do you simplify your explanation? I normally use fairly basic terms and show the patient the skeleton model and diagrams on anatomy posters so the patient can try and visualise their condition...
What else is there?
Regards
Donna :)
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