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Tight aponeurosis

Discussion in 'Biomechanics, Sports and Foot orthoses' started by Paze, Nov 21, 2014.

  1. Paze

    Paze Member


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    I've noticed some patients presenting with heel and metatarsal pain and a stiff plantar fascia, but not presenting with symptoms of plantar fasciitis (pain after rest, thickening of fascia, pain upon palpation etc.). Is there a common (or obscure) differential of plantar fasciitis which is associated with a stiff plantar fascia?
     
  2. Lab Guy

    Lab Guy Well-Known Member

    I would bet these patients have a higher than normal medial longitudinal arch as the tensile stress within the fascia is much less. Heel pain from upward force from ground rather than pull of fascia.

    Steven
     
  3. Paze

    Paze Member

    So weight balancing orthoses, yes? If so, any particular kind you've had success with?
     
  4. Ian Linane

    Ian Linane Well-Known Member

    Anecdotally, I find such conditions can sometimes respond to an improvement in quality of motion in joints of the midfoot, post gentle and simple joint mobs. One thought might be an improved dissipation of force resulting from improved joint motion? Other joints can also be worked on. Just my thoughts.
     
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