This document discusses plantar fasciitis and fibromyalgia. For plantar fasciitis, it defines the condition as inflammation of the plantar fascia in the foot, lists risk factors like obesity and activities that involve long periods of walking or running, and describes the typical symptoms of heel pain that is worse upon waking or sitting. It also outlines the evaluation and management approaches, which include imaging, analgesics, activity modification, orthotics, stretching exercises, and in some cases injections or surgery. Fibromyalgia is defined as pain and inflammation of muscles, tendons and connective tissues over multiple sites for over 3 months, often accompanied by fatigue and sleep issues. Causative factors listed include stress, obesity, and certain medical conditions or

1. Dr Kishore Vemula Ms(ortho)
Senior Resident
Department Of Orthopaedics
Apollo Medical College, Chittoor.
PLANTAR FASCITIS

2. DEFINITION
• Plantar fascitis is a painful
condition of foot caused by
inflammation of plantar fascia
• The pain is usually felt on
bottom of foot near the heel
• Pain is worse when getting out
of bed in morning or after sitting
for a long time
• Common in middle age women

3. RISK FACTORS
• Obesity
• Long distance walkers, running … military,sports activities
• Shoes with poor arch supports
• Diabetis
• calcaneal spur
• Tight achillis tendon
• Weak tibialis posterior

4. EVALUATION
• Tenderness over heel point on palpation
• X ray ankle lateral view…
calcaneal spur
• sugars

5. MANAGEMENT
• Analgesics
• Activity Modification
• Heel Supports
• Shoe With Arch Supports
…. MCR Footwear
• Physiotherapy
• Calf Strech
• Fascia Strech

6. OTHERS
• Local PRP Injections
• Excision Of Spur
• Release Of Fascia

7. FIBROSITIS
Dr Kishore Vemula
Senior Resident
Department Of Orthopaedics
Apollo Medical College,chittoor

8. • Pain and inflammation of muscles, muscle
sheaths and connective tissue layers of bones,
muscles, tendons, joints
• Mostly asymptomatic
• Only 10% are symptomatic
• 20-50 years
• Women ; men 10:1

9. CHRONIC PAIN AT MULTIPLE SITES OF LONG
DURATION >3MONTHS, FATIGUE, SLEEP
DISTURBANCES ARE COMMON

10. CAUSATIVE FACTORS
• Stress
• obesity
• Hypothyroidism, RA
• Harmonal changes
• Anaemia, malnutrition
• Stimulants coffee, alcohol
• Infections
No definitive cause has been identified till date

11. MANAGEMENT
• Anagesics
• Anti depressants
• Anti convulsants
• Physiotherapy
• psychotherapy

12. • THANK YOU ………………,