Dear all,
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I would like your advise on heel wedge to treat a plantar fascia pathology.
I have great results using full orthotics with cast in neutral position, correction regarding my exam, and offloading of the place of the pain if the pain is more than 7/10.
But my French collegues still use heel wedge to treat plantar fascia pathology that they still call heel spur.
I would like some real arguments to express my thoughts without any lie.
I know and please tell me if I am wrong that we have found the following:
- The heel spur is not in the plantar fascia but the intrinsique muscles.
-The heel spur could still be a traction spur...
-The name plantar fsciatiis should no be used anymore because it has been proven that they are no sign of inflammation in a plantar fasciatiis
-The muscle Triceps Sural is related to the. Plantar Fascia through the paratenon of the Achilles Tendon
-There is a relation between Achilles pathology and plantar fascia pathology
So could you explain me the following:
Because the M. Triceps Sural is related to the plantar Fascia do you think an heel wedge reduce the traction of the plantar fascia by reducing the traction of Achilles Tendon? If yes don't you think that this is just a short term treatment, has it will not correct any deviation and the muscles would start stretching again?
Do you think that the plantar fascia pathology cause in some case could only be a hypoextensibility (retraction) of the m. triceps sural?
I beleive that there is not a specific orthotics for a specific pathology.
I must admit that I still explain to my patients that a plantar fascitiis because all doctors still use this name is a traction of the plantar fascia on his insertion on the calcaneum due to a bad torsion stj/mtj, or an overpronation... depending of my exam. I still say that the heel spur is not the cause of the pain but only show us a big inflammation...
But the heel spur does not show a big inflammation causing a calcification? The heel spur is not a calcification but what is it?
I love this topic because I treat about 10people a week with plantar fascia pathology and I use treat because I have excellent results with my orthotics.
It just really annoyed me to see that my French collegues still beleive only in heel wedge to treat this pathology.
Thank you for your help and responce!
Regards
Val
From Mauritius
Sorry for my english but hope you can understand me
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