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Plantar Fasciitis; A New Take on Custom Orthoses

Discussion in 'Biomechanics, Sports and Foot orthoses' started by David Wedemeyer, Jul 29, 2011.

  1. David Wedemeyer

    David Wedemeyer Well-Known Member

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    A new article from LE Review looks at the role of CFO’s for treating PF:

    I feel they made a glaring error in not distinguishing between acute and chronic PF. Would anyone argue that acute PF exhibits an inflammatory component and that one of the primary goals of treatment in acute PF is reducing inflammation?

    Would anyone argue that chronic PF exhibits degenerative changes as mentioned, lacks an inflammatory component and is a progressive, degenerative disorder? What about the subacute patient?

    Distinguishing what stage of PF, fasciosis vs. fasciitis, the patient is in is paramount to appropriate treatment and outcomes.

    No epiphany here, I’m sure various materials provide various benefits and should probably be chosen in a CFO based on more than what is subjectively “best” for PF, right? In the vein of here we go again, referencing casting position rather than the kinetics and kinematics causative in producing the biomechanical factors contributing to the onset of PF and how to mediate those in vivo with CFO’s (or prefabs for that matter) gets shuffled aside.
  2. Craig Payne

    Craig Payne Moderator

    You probably right re the acute vs chronic plantar fasciitis - there are probably other types as well.

    I do have an issue re material choice; prefab vs custom etc - the focus is on all the wrong things. As I talked in this thread, its all about being able to deliver something that reduces the load in the plantar fascia - that may be gait retraining; strapping; or particular design features in the foot orthotic - who cares what material the orthotic is made out of or if its prefab or custom, as long as the design features reduce the load in the plantar fascia?

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