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I have a question

If the PF is presing on the nerve and/or causing neuropathy...(in any way posible)
and neuropathy causes loss of sensations
is it "logocal to take the next theory to be true... > that in this situation the person is causing even more damage to the fascia( because of the sensation loss) thereby makeing this to be a CYCLE OF INJURY/PAIN ???

 

Possible. but I hever seen any loss of sensation in the plantar heel region - in a couple of cases I have seen some inconsistent sensory changes in dermatome of lateral plantar nerve.

 

I didnt mean just plantar heel region
i meant any place on the lower leg/foot/sole and peripheral neuropaty that can ocurr
if the injured fascia or any other tisue in the foot (in this case fascia/aponerosis) is causing nerve problems

that way the patient has less "control" over the already injured part of the body
makeing it harder to concentrate on solving the plantar fasciitis issue that started the cycle in the first place

of course this is only in nerve problems folowing folowing heel pain
im in no way trying to make this as cause of heel heel pain or plantar fasciitis

just thought it makes some sense

 

OK, sorry.

I have a letter-to-the editor 'publication' sent off to Diabetes Care on this. Follow this thought process:

What are the major documented risk factors for plantar fasciitis? - increased bodyweight and restricted range of ankle dorsiflexion.

What do people with type 2 diabetes have? - increased bodyweight and restricted range of ankle dorsiflexion (the LJM).

What does plantar fasciitis look like on ultrasond? - thicker

What does plantar fascia look like on ultrasond in those with diabetes, especially those with sensory neuropathy? - thicker

What else do those with type 2 diabetes have? - increase glycation of the collagen; and sensory neuropathy.

How common is plantar fasciitis in those with diabetic sensory neuropathy? - probably very common.

What is common in Charcot's neuroarthropathy? - ruptured plantar fascia.

See where this is heading?

 

exactly



oh and no need for apologies

 

This seems logical as diabetics with insensitive feet walk all the time even at the risk of further harm to an already inflamed,thickened plantar fascia.