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The effectiveness of conservative treatments for plantar heel pain

Discussion in 'Biomechanics, Sports and Foot orthoses' started by NewsBot, Jun 15, 2017.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1

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    The effectiveness of conservative, non-pharmacological treatment for plantar heel pain: A systematic review with meta-analysis
    Stefano Salvioli et al
    The Foot; Article in Press
     
  2. Craig Payne

    Craig Payne Moderator

    Articles:
    6
    There you have it .... nothing works.
     
  3. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Plantar fasciitis in athletes: diagnostic and treatment strategies. A systematic review.
    Petraglia F et al
    Muscles Ligaments Tendons J. 2017 May 10;7(1):107-118. doi: 10.11138/mltj/2017.7.1.107. eCollection 2017 Jan-Mar.
     
  4. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    American College of Foot and Ankle Surgeons Clinical Consensus Statement: Diagnosis and Treatment of Adult Acquired Infracalcaneal Heel Pain
    Harry P. Schneider et al
    JFAS; Article in Press
     
  5. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Physical Therapy Interventions for Runners Experiencing Plantar Fasciitis: An Evidence Based Analysis
    Zach Chenoweth,
    PhD Thesis; University of New Mexico
     
  6. terigreen

    terigreen Active Member

    Excellent article, thanks for posting. My husband has seen over the past several years an increase in patients refusing to purchase custom orthotics when their insurance will not cover them. In the years when insurance covered orthotics, he used to cast for 4-5 custom orthotics in a day. Now he is lucky to do 1 or 2 a day. In my opinion, it is pretty expensive for most working people to afford a custom orthotic. Also, they can go anywhere to purchase a prefab orthotic. He has been producing more and more heat moldable orthotics. For $75 he will produce a "custom" orthotic in about 10 minutes. Patients seem to like them. They are perceived by patients as a custom orthotic
    Thanks again,
    Teri Green
    Atlas Biomechanics
     
  7. Lab Guy

    Lab Guy Well-Known Member

    A custom orthotic has design features specific to the patient’s biomechanical abnormality.
    In ten min, can you add a forefoot valgus extension or reverse Morton’s extension? Can you add a medial heel skive and maybe Poron in the heel area? Can you off-load a plantarflexed metatarsal? Are you applying a quality top cover?

    Are you performing Jack’s test with the patient standing barefoot and then standing on the orthotics to see if the orthotics are making a difference?

    Is there any thought process behind just heating molding a shell to the patient’s foot?


    When working people have foot pain and truly need a custom orthotic, they will most often pay for it. If your charging $75 for a heat moldable device then you could discount your fee to $175 and give the patient a real custom orthotic or sell them a high quality prefab ( for less than $75) that come with many design features and quality topcovers.

    Steven
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Physical therapist decision-making in managing plantar heel pain: cases from a pragmatic randomized clinical trial.
    McClinton S et al
    Physiother Theory Pract. 2018 Jul 6:1-25.
     
  9. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    EFFECTIVENESS OF THE SOFT TISSUE THERAPY, AUTO
    STRETCHING AND CALF MUSCLE EXERCISE
    ON THE PLANTAR FASCIITIS

    Ika Guslanda Bustam
    Pontianak International Health Conference (PIHC)
     
  10. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Comparison of efficacy of eight treatments for plantar fasciitis: A network meta-analysis.
    Li H et al
    J Cell Physiol. 2018 Aug 4.
     
  11. terigreen

    terigreen Active Member

    What I really did not read about in this article was the use of prefabricated or heat moldable orthotics. They make such a huge difference for our patients at a reasonable price point.

    Teri Green
    Atlas Biomechanics
     
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