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Article: Plantar fasciitis: Part 3: biomechanical relationships of the plantar fascia: considerations prior to surgical plantar fasciotomy.(Disease/Disorder overview)
- Article from:
- Podiatry Now
- Article date:
- February 1, 2009
- Author:
CopyrightCOPYRIGHT 2009 Society of Chiropodists and Podiatrists. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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[FIGURE 1 OMITTED]
INTRODUCTION
Plantar fasciitis presents as a gradual onset of pain and burning, just anterior to the plantar medial calcaneal tuberosity, with maximum tenderness on palpation of the site. (1-4) A mild swelling may also be seen in the area. (1,2) The pain is, unusually, worse first thing in the morning, reducing after walking, but returning with prolonged activity. The pain can also follow long periods of rest in the day time. In mild cases, the pain may only occur after exercise, such as running. (5-7) Biopsies of the plantar fascia have revealed collagen degeneration and necrosis, mucinoid degeneration, angioplastic hyperplasia, ...