This document summarizes information about planter fasciitis, including its definition, symptoms, diagnosis, and treatment options. Planter fasciitis is a common cause of heel pain resulting from repetitive microtrauma to the plantar fascia. It is diagnosed based on symptoms of pain in the heel worsened by activity and improved by rest. Treatment includes medical management with corticosteroid injections, physical therapy focusing on stretching and strengthening exercises, and surgery as a last resort.
Plantar fasciitis is a painful foot condition caused by inflammation of the plantar fascia, a thick band of connective tissue that runs along the bottom of the foot. It is most commonly caused by overuse from activities like long-distance running or jobs requiring prolonged standing. Symptoms include pain in the heel or bottom of the foot, especially first thing in the morning or with long periods of standing or walking. Conservative treatments like rest, stretching, orthotics, night splints, and steroid injections are usually effective in reducing pain and inflammation. Surgery is only considered if conservative treatments fail to provide relief after several months or years.
Patellar tendinopathy, also known as jumper's knee, is a chronic overuse injury caused by repetitive stress on the knee extensor mechanism from activities like jumping, running, and kicking. It results from microtears in the patellar tendon from forces that are 3 times greater than normal during movements like acceleration, deceleration, takeoff, and landing. Symptoms include dull aching knee pain after exercise that worsens with sitting or stairs. Treatment focuses on eccentric strengthening exercises and bracing to promote healing of the tendon.
This document defines and describes cavus foot, including its causes, clinical features, diagnosis, and treatment options. A cavus foot has an abnormally high arch and accompanying toe deformities. Causes include neuromuscular conditions like Charcot-Marie-Tooth disease and polio. Clinical features include a high arch and clawing of the toes. Diagnosis involves physical exam and x-rays. Treatment depends on flexibility and severity but may include tendon lengthening, osteotomies, and joint fusions to correct deformities in the forefoot, midfoot, and hindfoot. The goal is to create a plantigrade foot.
Plantar fasciitis is a common cause of heel pain that results from inflammation of the plantar fascia. It occurs when excess stress is placed on the fascia, often due to activities like long-distance running. Symptoms include pain along the bottom of the heel that is usually worst with first steps in the morning. Risk factors include age over 40, obesity, tight calf muscles, and wearing poorly fitting shoes. Diagnosis is based on symptoms and examination, while imaging can show thickening of the plantar fascia. Treatment focuses on reducing inflammation and stress on the fascia through stretching, orthotics, night splints, and heel pads.
- The ACL originates on the lateral femoral condyle and inserts on the tibia, providing primary stability to prevent anterior tibial translation.
- Most ACL tears are non-contact injuries involving sudden deceleration, change of direction, or landing from a jump with the knee near full extension.
- Physical exam includes Lachman, anterior drawer, and pivot shift tests to assess knee stability. MRI is used to confirm ACL tear.
- Treatment options include conservative rehab for partial or low-grade tears or ACL reconstruction surgery using grafts like patellar tendon or hamstring tendons fixed with interference screws. Post-op rehab emphasizes early range of motion and weight bearing.
Plantar fasciitis is a painful foot condition caused by inflammation of the plantar fascia, a thick band of connective tissue that runs along the bottom of the foot. It is most commonly caused by overuse from activities like long-distance running or jobs requiring prolonged standing. Symptoms include pain in the heel or bottom of the foot, especially first thing in the morning or with long periods of standing or walking. Conservative treatments like rest, stretching, orthotics, night splints, and steroid injections are usually effective in reducing pain and inflammation. Surgery is only considered if conservative treatments fail to provide relief after several months or years.
Patellar tendinopathy, also known as jumper's knee, is a chronic overuse injury caused by repetitive stress on the knee extensor mechanism from activities like jumping, running, and kicking. It results from microtears in the patellar tendon from forces that are 3 times greater than normal during movements like acceleration, deceleration, takeoff, and landing. Symptoms include dull aching knee pain after exercise that worsens with sitting or stairs. Treatment focuses on eccentric strengthening exercises and bracing to promote healing of the tendon.
This document defines and describes cavus foot, including its causes, clinical features, diagnosis, and treatment options. A cavus foot has an abnormally high arch and accompanying toe deformities. Causes include neuromuscular conditions like Charcot-Marie-Tooth disease and polio. Clinical features include a high arch and clawing of the toes. Diagnosis involves physical exam and x-rays. Treatment depends on flexibility and severity but may include tendon lengthening, osteotomies, and joint fusions to correct deformities in the forefoot, midfoot, and hindfoot. The goal is to create a plantigrade foot.
Plantar fasciitis is a common cause of heel pain that results from inflammation of the plantar fascia. It occurs when excess stress is placed on the fascia, often due to activities like long-distance running. Symptoms include pain along the bottom of the heel that is usually worst with first steps in the morning. Risk factors include age over 40, obesity, tight calf muscles, and wearing poorly fitting shoes. Diagnosis is based on symptoms and examination, while imaging can show thickening of the plantar fascia. Treatment focuses on reducing inflammation and stress on the fascia through stretching, orthotics, night splints, and heel pads.
- The ACL originates on the lateral femoral condyle and inserts on the tibia, providing primary stability to prevent anterior tibial translation.
- Most ACL tears are non-contact injuries involving sudden deceleration, change of direction, or landing from a jump with the knee near full extension.
- Physical exam includes Lachman, anterior drawer, and pivot shift tests to assess knee stability. MRI is used to confirm ACL tear.
- Treatment options include conservative rehab for partial or low-grade tears or ACL reconstruction surgery using grafts like patellar tendon or hamstring tendons fixed with interference screws. Post-op rehab emphasizes early range of motion and weight bearing.
Iliotibial band friction syndrome amongst runnersSonaliJoshi44
Iliotibial band friction syndrome, a very recurrently occurring yet not very keenly looked upon condition amongst runners, which shall be taken care of emergently
This study examined hip abductor strength in long distance runners with ITBS compared to uninjured runners. Runners with ITBS had weaker hip abductors on their injured side compared to their uninjured side and controls. Both male and female runners who completed a 6-week physical therapy program of hip abductor strengthening exercises achieved strength levels equal to or greater than their uninjured side and controls. Most runners were able to successfully return to running following the strengthening intervention. While the study included multiple treatments, it provides evidence that hip abductor weakness may play a role in ITBS and strengthening can help return runners to sport.
This document provides an overview of pes planus (flat foot) including the anatomy of the foot arches, definition and causes of pes planus, and discussions of common causes such as flexible flat foot, congenital vertical talus, tarsal coalition, and posterior tibial tendon disorder. Flexible flat foot is usually asymptomatic in infants and children. Congenital vertical talus is a rigid deformity characterized by dorsal dislocation of the talonavicular joint. Treatment involves serial casting or surgery to gradually correct contractures and restore normal anatomy.
Plantar fasciitis is an inflammation of the plantar fascia in the foot that causes heel pain. It is caused by overuse from activities like long-distance running or tight calf muscles limiting the foot's range of motion. Symptoms include pain, swelling, and warmth in the heel area. Conservative treatments include stretching exercises, orthotics, night splints, taping, and manual therapies to increase flexibility and support the arch. Treatment may last several months to two years and surgery is an option for severe cases that do not improve.
Deformities observed with Pes cavus includes :
*clawing of the toes
*posterior hind foot deformity (described as an increased calcaneal angle)
*contracture of the plantar fascia
*cock-up deformity of the great toe
Following References were used to prepare this powerpoint presentation which makes the slides accurate and relaible for studying purpose; Therapeutic Exrercise – Carolyn Kisner
Orthopaedic Physical Assessment – Magee
Orthopaedic Medicine – L. Ombregt
Campbell’s Operative Orthopaedics
Slides includes following headings;
DEFINITION
TYPES
ORTHOPAEDIC ASSESSMENT
MEDICAL MANAGGEMENT
PHYSIOTHERAPY MANAGEMENT
SURGICAL MANAGEMENT
An ankle sprain is a common injury caused by trauma to the ankle ligaments from excessive inversion or eversion. It can range from mild stretching to complete tears. Incidence is highest among athletes. Symptoms include pain, swelling, bruising and difficulty walking. Assessment involves examining range of motion, stability tests like the anterior drawer test, and imaging to rule out fractures. Treatment depends on severity but may include RICE, bracing and physical therapy.
Golfer's elbow, also known as medial epicondylitis, is an overuse injury causing pain on the inner side of the elbow where forearm muscles attach. It results from repetitive motions like swinging a golf club or racket. Physiotherapy treatments include ultrasound, laser therapy, stretching and strengthening exercises to reduce pain and inflammation, improve range of motion and muscle strength, and prevent reinjury. Conservative treatments are usually tried first before considering corticosteroid injections or surgery. Proper form, rest, stretching, strengthening, and equipment choices can help prevent golfer's elbow.
Chondromalacia patellar, or softening of the cartilage under the kneecap, is caused by several factors like malalignment, muscle weakness, or lesions. It begins as softening and progresses to tearing and erosion. Diagnosis involves knee exams and imaging like MRI. Treatment includes rest, braces, exercises to strengthen muscles like quadriceps, and sometimes surgery to realign the patella. Physiotherapy focuses on exercises, taping or bracing to improve tracking, and modalities for pain relief.
The document discusses the knee joint anatomy, ligaments, movements, and osteoarthritis. It describes that the knee joint is stabilized by ligaments including the collateral and cruciate ligaments. Osteoarthritis is characterized by cartilage destruction and causes pain, stiffness, swelling and limitation of movement. Treatment involves relieving pain, restoring function and rehabilitation. Surgical options for osteoarthritis include joint debridement, osteotomy, and arthroplasty.
This document discusses SLAP lesions of the shoulder. It defines SLAP lesions as injuries to the superior labrum. The etiology of SLAP lesions is controversial but may involve traction from the biceps tendon during throwing motions. People at risk include those with poor scapular control or tight posterior capsules. Physical exams do not conclusively diagnose SLAP lesions. Treatment involves a 3-phase rehabilitation program focusing on the kinetic chain, mobility, and strengthening. Core stability, scapular stabilization, and manual therapy techniques are emphasized. While surgery is an option, adaptive changes in throwers mean repairing anatomy may hinder performance. An integrated approach addressing the whole body is most effective for shoulder pain.
Morton's neuroma is a common foot condition that causes pain in the ball of the foot, usually between the third and fourth toes. It occurs when a nerve in the foot is compressed, causing pain, numbness, and tingling. Symptoms include pain that gets worse with walking and is relieved by removing shoes. Treatments may include shoe inserts, steroid injections, and surgery. The condition is often caused by wearing narrow, tight shoes that squeeze the toes together.
This document provides information on meniscal tears of the knee. It begins with an introduction stating that meniscal tears are common injuries responsible for many arthroscopies annually. It then covers anatomy of the medial and lateral menisci, blood supply, classification of tears, mechanisms of injury, clinical features, investigations like MRI and arthroscopy, and treatment options including non-operative care, meniscectomy, and meniscal repair. The focus is on providing detailed information on meniscal anatomy, tears, and surgical and non-surgical management.
Plantar fasciitis is a painful inflammatory condition of the plantar fascia in the sole of the foot, often caused by overuse. It commonly causes heel pain with the first steps in the morning or after periods of rest. Treatment focuses on reducing inflammation, stretching the fascia, and supporting the arch through various physical therapies, orthotics, and in severe cases, corticosteroid injections or surgery.
Bicipital tendonitis is inflammation of long head of the biceps tendon under the bicipital groove.
In early stage, tendon becomes red and swollen, as tendonitis develops the tendon sheath can thicken.
In late stage, often become dark red in color due to inflammation.
Piriformis syndrome is a condition where sciatica symptoms occur due to involvement of the piriformis muscle, often caused by muscle tightness or trauma. It results in entrapment of the sciatic or pudendal nerves, leading to pain, tingling, and numbness in the buttocks, thigh, and leg. Diagnosis involves physical tests like the Freiberg test and treatment focuses on stretching, strengthening, and modalities like massage to relieve tightness while surgery is rarely needed.
Collapse of medial longitudinal arch, with the entire sole of the foot coming into complete or near-complete contact with the ground.
Books Refered :
Text Book Of ANATOMY - Vishram Singh
Joint Structure And Function – Cynthia Norkin
Therapeutic Exrercise – Carolyn Kisner
Orthopaedic Physical Assessment – Magee
Orthopaedic Medicine – L. Ombregt
Campbell’s Operative Orthopaedics
Plantar fasciitis is a painful condition caused by inflammation of the plantar fascia, a thick ligament connecting the heel to the toes. The pain is usually felt on the bottom of the foot near the heel and is worst upon waking or after long periods of sitting. Repeated microtears in the fascia from overuse can cause degeneration and inflammation. Risk factors include obesity, excessive running or prolonged standing, especially with inadequate foot support. Treatment focuses on reducing inflammation and strain through stretching, orthotics, night splints, and physical therapy exercises.
Introduction:
Patellofemoral pain (PFP) is one of the most common disorders of the knee. The knee is involved in around 10% of all sporting injuries.
Tria and Alica, described Wiberg classification of patella facet shapes, and there is another classification based on Morphology ratio.
The purpose of this case control study is comparison between the different morphologic types of the patella (Wiberg classification and morphology Ratio) in patients with chondromalacia and normal persons.
Patients & Methods:
In this study we evaluated 30 limbs in 30 patients with chondromalacia (20 females, 10 males ). Medial and lateral facets were calculated on patellar knee view. Also patellar articular length and overall patellar length were calculated in knee joint in 30 flexion. The results were compared to values obtained from 30 limbs in 30 healthy volunteers.
Results:
In Wiberg classification, 57% of normal persons had patella type I while 17% of patients with chondromolacia had this type (p=0.01). Also 43% of normal persons had patella type II while 83% of patients had this type (p= 0.01).
In Morphology ratio classification, 40% of normal persons had patella type II while 13% of patients had this type (p=0.02). Also none of normal persons had patella type III while 13% of patients had this type (p=0.03).
Discussion:
A variety of sports commonly lead to chondromoalacia patella due to unusual compressive forces. Therefore young population specially athletes should pay attention to their patella shapes for selecting the sports types.
Shoulder dislocation with physiotherapy managementKrishna Gosai
The document summarizes the types, diagnosis, treatment, and physiotherapy management of shoulder dislocations. There are three main types of shoulder dislocations - anterior, posterior, and luxatio erecta. Anterior dislocations are the most common, often caused by a fall on an outstretched hand. Treatment involves reduction, immobilization for 3 weeks, followed by a mobilization phase and physiotherapy to regain full range of motion. Physiotherapy focuses on strengthening muscles around the shoulder and regaining passive range of motion to prevent recurrent dislocations and return to full function.
The document discusses plantar fasciitis, including its anatomy, causes, risk factors, clinical presentation, diagnosis, and management with physiotherapy. It describes techniques like stretching, orthotics, taping, iontophoresis, night splints, mobilizations, and exercises that can be used in physiotherapy to treat plantar fasciitis. The goal of physiotherapy is to reduce pain and improve function through these various conservative treatment approaches for plantar fasciitis.
This document provides an overview of various causes of heel pain and structures in the heel area that can generate heel pain. It discusses conditions like plantar fasciitis, heel spurs, plantar enthesopathy, plantar bursitis, and heel fat pad syndrome. Diagnosis is usually based on clinical history and physical exam findings, and imaging like x-rays, ultrasound, and MRI can help diagnose and rule out other conditions. Treatment depends on the underlying cause but may include rest, ice, anti-inflammatories, orthotics, corticosteroid injections, and rarely surgery.
Iliotibial band friction syndrome amongst runnersSonaliJoshi44
Iliotibial band friction syndrome, a very recurrently occurring yet not very keenly looked upon condition amongst runners, which shall be taken care of emergently
This study examined hip abductor strength in long distance runners with ITBS compared to uninjured runners. Runners with ITBS had weaker hip abductors on their injured side compared to their uninjured side and controls. Both male and female runners who completed a 6-week physical therapy program of hip abductor strengthening exercises achieved strength levels equal to or greater than their uninjured side and controls. Most runners were able to successfully return to running following the strengthening intervention. While the study included multiple treatments, it provides evidence that hip abductor weakness may play a role in ITBS and strengthening can help return runners to sport.
This document provides an overview of pes planus (flat foot) including the anatomy of the foot arches, definition and causes of pes planus, and discussions of common causes such as flexible flat foot, congenital vertical talus, tarsal coalition, and posterior tibial tendon disorder. Flexible flat foot is usually asymptomatic in infants and children. Congenital vertical talus is a rigid deformity characterized by dorsal dislocation of the talonavicular joint. Treatment involves serial casting or surgery to gradually correct contractures and restore normal anatomy.
Plantar fasciitis is an inflammation of the plantar fascia in the foot that causes heel pain. It is caused by overuse from activities like long-distance running or tight calf muscles limiting the foot's range of motion. Symptoms include pain, swelling, and warmth in the heel area. Conservative treatments include stretching exercises, orthotics, night splints, taping, and manual therapies to increase flexibility and support the arch. Treatment may last several months to two years and surgery is an option for severe cases that do not improve.
Deformities observed with Pes cavus includes :
*clawing of the toes
*posterior hind foot deformity (described as an increased calcaneal angle)
*contracture of the plantar fascia
*cock-up deformity of the great toe
Following References were used to prepare this powerpoint presentation which makes the slides accurate and relaible for studying purpose; Therapeutic Exrercise – Carolyn Kisner
Orthopaedic Physical Assessment – Magee
Orthopaedic Medicine – L. Ombregt
Campbell’s Operative Orthopaedics
Slides includes following headings;
DEFINITION
TYPES
ORTHOPAEDIC ASSESSMENT
MEDICAL MANAGGEMENT
PHYSIOTHERAPY MANAGEMENT
SURGICAL MANAGEMENT
An ankle sprain is a common injury caused by trauma to the ankle ligaments from excessive inversion or eversion. It can range from mild stretching to complete tears. Incidence is highest among athletes. Symptoms include pain, swelling, bruising and difficulty walking. Assessment involves examining range of motion, stability tests like the anterior drawer test, and imaging to rule out fractures. Treatment depends on severity but may include RICE, bracing and physical therapy.
Golfer's elbow, also known as medial epicondylitis, is an overuse injury causing pain on the inner side of the elbow where forearm muscles attach. It results from repetitive motions like swinging a golf club or racket. Physiotherapy treatments include ultrasound, laser therapy, stretching and strengthening exercises to reduce pain and inflammation, improve range of motion and muscle strength, and prevent reinjury. Conservative treatments are usually tried first before considering corticosteroid injections or surgery. Proper form, rest, stretching, strengthening, and equipment choices can help prevent golfer's elbow.
Chondromalacia patellar, or softening of the cartilage under the kneecap, is caused by several factors like malalignment, muscle weakness, or lesions. It begins as softening and progresses to tearing and erosion. Diagnosis involves knee exams and imaging like MRI. Treatment includes rest, braces, exercises to strengthen muscles like quadriceps, and sometimes surgery to realign the patella. Physiotherapy focuses on exercises, taping or bracing to improve tracking, and modalities for pain relief.
The document discusses the knee joint anatomy, ligaments, movements, and osteoarthritis. It describes that the knee joint is stabilized by ligaments including the collateral and cruciate ligaments. Osteoarthritis is characterized by cartilage destruction and causes pain, stiffness, swelling and limitation of movement. Treatment involves relieving pain, restoring function and rehabilitation. Surgical options for osteoarthritis include joint debridement, osteotomy, and arthroplasty.
This document discusses SLAP lesions of the shoulder. It defines SLAP lesions as injuries to the superior labrum. The etiology of SLAP lesions is controversial but may involve traction from the biceps tendon during throwing motions. People at risk include those with poor scapular control or tight posterior capsules. Physical exams do not conclusively diagnose SLAP lesions. Treatment involves a 3-phase rehabilitation program focusing on the kinetic chain, mobility, and strengthening. Core stability, scapular stabilization, and manual therapy techniques are emphasized. While surgery is an option, adaptive changes in throwers mean repairing anatomy may hinder performance. An integrated approach addressing the whole body is most effective for shoulder pain.
Morton's neuroma is a common foot condition that causes pain in the ball of the foot, usually between the third and fourth toes. It occurs when a nerve in the foot is compressed, causing pain, numbness, and tingling. Symptoms include pain that gets worse with walking and is relieved by removing shoes. Treatments may include shoe inserts, steroid injections, and surgery. The condition is often caused by wearing narrow, tight shoes that squeeze the toes together.
This document provides information on meniscal tears of the knee. It begins with an introduction stating that meniscal tears are common injuries responsible for many arthroscopies annually. It then covers anatomy of the medial and lateral menisci, blood supply, classification of tears, mechanisms of injury, clinical features, investigations like MRI and arthroscopy, and treatment options including non-operative care, meniscectomy, and meniscal repair. The focus is on providing detailed information on meniscal anatomy, tears, and surgical and non-surgical management.
Plantar fasciitis is a painful inflammatory condition of the plantar fascia in the sole of the foot, often caused by overuse. It commonly causes heel pain with the first steps in the morning or after periods of rest. Treatment focuses on reducing inflammation, stretching the fascia, and supporting the arch through various physical therapies, orthotics, and in severe cases, corticosteroid injections or surgery.
Bicipital tendonitis is inflammation of long head of the biceps tendon under the bicipital groove.
In early stage, tendon becomes red and swollen, as tendonitis develops the tendon sheath can thicken.
In late stage, often become dark red in color due to inflammation.
Piriformis syndrome is a condition where sciatica symptoms occur due to involvement of the piriformis muscle, often caused by muscle tightness or trauma. It results in entrapment of the sciatic or pudendal nerves, leading to pain, tingling, and numbness in the buttocks, thigh, and leg. Diagnosis involves physical tests like the Freiberg test and treatment focuses on stretching, strengthening, and modalities like massage to relieve tightness while surgery is rarely needed.
Collapse of medial longitudinal arch, with the entire sole of the foot coming into complete or near-complete contact with the ground.
Books Refered :
Text Book Of ANATOMY - Vishram Singh
Joint Structure And Function – Cynthia Norkin
Therapeutic Exrercise – Carolyn Kisner
Orthopaedic Physical Assessment – Magee
Orthopaedic Medicine – L. Ombregt
Campbell’s Operative Orthopaedics
Plantar fasciitis is a painful condition caused by inflammation of the plantar fascia, a thick ligament connecting the heel to the toes. The pain is usually felt on the bottom of the foot near the heel and is worst upon waking or after long periods of sitting. Repeated microtears in the fascia from overuse can cause degeneration and inflammation. Risk factors include obesity, excessive running or prolonged standing, especially with inadequate foot support. Treatment focuses on reducing inflammation and strain through stretching, orthotics, night splints, and physical therapy exercises.
Introduction:
Patellofemoral pain (PFP) is one of the most common disorders of the knee. The knee is involved in around 10% of all sporting injuries.
Tria and Alica, described Wiberg classification of patella facet shapes, and there is another classification based on Morphology ratio.
The purpose of this case control study is comparison between the different morphologic types of the patella (Wiberg classification and morphology Ratio) in patients with chondromalacia and normal persons.
Patients & Methods:
In this study we evaluated 30 limbs in 30 patients with chondromalacia (20 females, 10 males ). Medial and lateral facets were calculated on patellar knee view. Also patellar articular length and overall patellar length were calculated in knee joint in 30 flexion. The results were compared to values obtained from 30 limbs in 30 healthy volunteers.
Results:
In Wiberg classification, 57% of normal persons had patella type I while 17% of patients with chondromolacia had this type (p=0.01). Also 43% of normal persons had patella type II while 83% of patients had this type (p= 0.01).
In Morphology ratio classification, 40% of normal persons had patella type II while 13% of patients had this type (p=0.02). Also none of normal persons had patella type III while 13% of patients had this type (p=0.03).
Discussion:
A variety of sports commonly lead to chondromoalacia patella due to unusual compressive forces. Therefore young population specially athletes should pay attention to their patella shapes for selecting the sports types.
Shoulder dislocation with physiotherapy managementKrishna Gosai
The document summarizes the types, diagnosis, treatment, and physiotherapy management of shoulder dislocations. There are three main types of shoulder dislocations - anterior, posterior, and luxatio erecta. Anterior dislocations are the most common, often caused by a fall on an outstretched hand. Treatment involves reduction, immobilization for 3 weeks, followed by a mobilization phase and physiotherapy to regain full range of motion. Physiotherapy focuses on strengthening muscles around the shoulder and regaining passive range of motion to prevent recurrent dislocations and return to full function.
The document discusses plantar fasciitis, including its anatomy, causes, risk factors, clinical presentation, diagnosis, and management with physiotherapy. It describes techniques like stretching, orthotics, taping, iontophoresis, night splints, mobilizations, and exercises that can be used in physiotherapy to treat plantar fasciitis. The goal of physiotherapy is to reduce pain and improve function through these various conservative treatment approaches for plantar fasciitis.
This document provides an overview of various causes of heel pain and structures in the heel area that can generate heel pain. It discusses conditions like plantar fasciitis, heel spurs, plantar enthesopathy, plantar bursitis, and heel fat pad syndrome. Diagnosis is usually based on clinical history and physical exam findings, and imaging like x-rays, ultrasound, and MRI can help diagnose and rule out other conditions. Treatment depends on the underlying cause but may include rest, ice, anti-inflammatories, orthotics, corticosteroid injections, and rarely surgery.
This document discusses plantar fasciitis, which is the most common cause of heel pain. It accounts for 80% of heel pain cases. The characteristic features are pain and tenderness on the medial heel near the sole. While heel spurs are commonly associated with plantar fasciitis, they are not the cause. Nonsurgical treatments are successful in about 90% of cases and include rest, orthotics, night splints and physical therapy. Surgery is considered if severe symptoms persist for over 6-12 months despite nonsurgical interventions.
This document discusses plantar fasciitis, a painful inflammatory condition of the plantar fascia in the sole of the foot. It defines plantar fasciitis and discusses its common causes such as deterioration or trauma to the plantar fascia. It also outlines the epidemiology, anatomy, biomechanics, pathology, symptoms, diagnostic assessments including imaging, differential diagnosis, and management approaches for plantar fasciitis such as physical therapy, orthotics, night splints, stretching, modalities, and surgery.
This document provides an overview of a foot and ankle session. It discusses topics like imaging the foot and ankle, common injuries like lateral ankle sprains and their treatment, and case studies involving various foot and ankle conditions like plantar fasciitis, pes planus, and Achilles tendinopathy. Clinical tests and management strategies are described for different injuries and conditions.
This document provides information on plantar fasciitis including its definition, description, epidemiology, anatomy, biomechanics, pathology, signs and symptoms, diagnostic procedures, differential diagnosis, and management. Some key points include:
- Plantar fasciitis is defined as an inflammatory process of the plantar fascia ligament on the sole of the foot.
- It is commonly caused by mechanical overload or repetitive trauma to the plantar fascia.
- Symptoms include heel pain that is worst with first steps after rest.
- Management includes rest, stretches, orthotics, night splints, corticosteroid injections, and surgery in severe cases.
- Studies have found myofascial release and massage
1) A double-blind randomized controlled study evaluated a wearable pulsed radiofrequency electromagnetic field (PRFE) device for treating plantar fasciitis.
2) 70 subjects with plantar fasciitis were randomly assigned either an active or placebo PRFE device to wear overnight for 7 days.
3) The active PRFE device showed a progressive 40% decline in morning heel pain over 7 days, significantly greater than the 7% decline in the control group, demonstrating PRFE's potential as a drug-free noninvasive treatment for reducing plantar fasciitis pain.
PLANTAR FASCIITIS .pptx. This ppt is based on sports condition plantar fasci...Mohini Yadav
Plantar fasciitis'heel pain' is the condition in which pain is occur in the plantar surface of heel...... In this ppt we disscus about condition and physiotherapy management
This document provides an overview of a physical therapy course on total hip rehabilitation. The course objectives are to understand hip surgery and exercises, describe hip biomechanics, and effectively progress patients through rehabilitation. The schedule covers topics like evidence-based practice, anatomy, exercises, and outcome measures. Recent advances in hip rehabilitation include smaller incisions, reduced hospital stays, and early mobilization leading to better short-term outcomes. Assessment tools for hip function include the Lower Extremity Function Scale and Harris Hip Score.
Peroneal tendinopathy is inflammation of the peroneal tendons behind the lateral malleolus caused by overuse or repetitive ankle motion. It is common in athletes and those with foot biomechanics like overpronation. Patients experience pain and swelling along the tendons that is worsened by activities like running. Examination reveals tenderness along the tendon course. Treatment begins conservatively with rest, bracing, stretching and strengthening exercises. For persistent cases, corticosteroid injections or surgery may be used to repair damaged tendons.
16001107 01 X Stop Surgeon To Patient FinalWilliamYoungMD
This document summarizes lumbar spinal stenosis, including its symptoms, treatment options, and a new minimally invasive treatment called the X-STOP spacer. Lumbar spinal stenosis causes back and leg pain due to narrowing of the spinal canal. Treatment options discussed include non-operative care, laminectomy, and the X-STOP procedure, which separates the spinous processes with an implanted spacer to relieve pressure on nerves. The X-STOP procedure provides relief of symptoms with less risks and recovery time compared to laminectomy.
This document provides guidance on evaluating and diagnosing knee pain. It begins by describing how to take a history regarding pain characteristics, mechanical symptoms, injury mechanism, and medical history. Examination involves inspection for swelling/bruising, palpation for tenderness and effusion, and movement tests including range of motion and specialized tests for ligaments and meniscus. Differential diagnoses are provided for different populations, including overuse injuries, trauma, infection, and arthritis. Specific conditions like patellofemoral pain, meniscal tears, and osteoarthritis are described in terms of typical presentation, examination findings, and initial testing.
This document discusses knee contractures, their causes, and treatment methods. It begins by defining knee contracture and noting that it can be difficult to differentiate intra-articular and extra-articular components clinically or radiographically. Common causes are discussed, including fractures and immobilization. Treatment methods include manipulation under anesthesia, quadricepsplasty techniques like Thompson and Judet quadricepsplasty, and newer mini-invasive or arthroscopy assisted approaches. Postoperative management focuses on early mobilization and physical therapy. Good outcomes are noted with gains in range of motion, though extension lags can sometimes occur.
What/Where is the true source of PFP?
What theories do we use for diagnosing PFP and how does literature support the theories?
How can we better treat “PFPS” patients through a more thorough evaluation and the developing classifications of PF disorders?
Equinus Management for Improved Patient Outcomespadeheer
Equinus, or limited ankle dorsiflexion, is frequently an underlying cause of many foot and ankle pathologies. The document discusses several studies that show equinus is very common, present in over 90% of patients with foot or ankle symptoms. One study found that treating the underlying equinus deformity, rather than just orthotics, improved outcomes for patients. The gastrocnemius muscle is a major contributor to equinus contractures. Assessing for gastrocnemius tightness should be part of any foot and ankle examination. Effectively treating equinus can help address many foot and ankle issues.
Bicipital tendonitis is inflammation of long head of the biceps tendon under the bicipital groove.
In early stage, tendon becomes red and swollen, as tendonitis develops the tendon sheath can thicken.
In late stage, often become dark red in color due to inflammation.
accessory navicular is sure is one of foot problems that affect life of teen age group than adult it pull them out of daily activities, knowing a bit of it will enlighten some information about it
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
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Planter fasciitis
1. Planter fasciitis
The student Sohaib Shehada Alashqar
3rd level of physiotherapy
Orthopedics course
Supervisor Dr Fadel Naim
2nd March 2019
2. Introduction
The aponeurosis of the foot or plantar fascia is comprised of
three distinct bands of dense connective tissue which support
the arch of the foot The plantar fascia originates at the medial
tubercle of the calcaneus extends distally into the five
metatarsophalangeal joints and ends at the proximal
phalanges of each digit.
3.
4. Definition of the planter fasciitis
Plantar fasciitis has commonly been defined as an
inflammatory process resulting from repetitive microtrauma
leading to micro-tears of the plantar fascia However current
literature suggests plantar fasciitis is better referred to as
“plantar fasciosis” (PF) due to the chronic and degenerative
processes evident in the tissues rather than inflammation.
5. THE (PF)
Plantar fasciitis (PF) is the most common cause of chronic
pain beneath the heel in adults and may be treated using
different therapeutic strategies.
Conservative treatments have always been the first approach
for treating PF as recommended by the APTA (American
physical therapy association ).
6. THAT’S MEAN
The current literature has confirmed its degenerative rather
than inflammatory pathology and coined the term plantar
fasciosis instead of PF because of the histological evidence of
chronic inflammatory changes without fibroblastic proliferation
suggestive of degenerative changes.
7. CON..
During locomotion and standing plantar fascia acts as shock
absorbers and supports the arch of the foot It is an important
static stabilizer of the longitudinal arch of the foot.
However, when the pressure on the plantar ligament is
important in overweight or obese people or increases with
sudden weight gain (pregnant women, etc.) or with repetitive
activity (long-distance runner activity involving being on feet
often, etc.) the risk factor related to this overuse increases.
8. The causes
A- The lesion is usually an overuse phenomenon occurring in
the presence of predisposing anatomical biomechanical or
environmental factors that put too much strain on the plantar
fascia.
B-The condition seems to be more common in people with a
valgus deformity because this flattens the foot and puts more
strain on the fascia.
9. CON..
C- Short calf muscles can also be the cause of an overstrained
fascia.
In this is condition the Achilles tendon tends to pull the hell
upwards during standing which stresses the led longitudinal
arch an the fascia .
10.
11. The risk factor
Common risk factors include
1-obesity
2-decreased ankle flexion
3- running
4- shortened or tight achilles tendon
5- high arches
6- flat feet
Women aged 40–60 years are more frequently diagnosed than
other demographics.
12.
13.
14. Statistic
The human foot has 26 bones 33 joints 107 ligaments 19
muscles and tendons.
That’s 52 bones in your feet which make up about 25 percent
of all the bones in your body.
15. CON..
Since a quarter of all the bones in the human body are down in
your feet when a great deal of force weight and pressure are
placed on them your chance of injury increases
16. CON..
In fact the American Podiatric Medical Association)APMA)
conducted a study that revealed 77 percent of Americans (18
and up) suffer from foot pain.
Approximately 2 million people in the United States will suffer
from Plantar Fasciitis one of the most common foot pains.
17. CON…
1- About 83 percent of active adults ages 25 to 65 will
experience plantars
2-Ten percent of runners will suffer from it
3-Fourteen percent reported improved symptoms simply from
changing their shoe .
18. The symptoms
The primary symptom complaint is pain in the arch of the foot
when bearing weight which is worse during the first few steps
in the morning and improves with rest .
19. Symptom of the (PF)
1-Tightness in the fascia
2- increased discomfort with passive dorsiflexion of great toe
3- standing on the tip of toe In majority it is a self-limiting
disease .
20. The Diagnosis
1-The diagnosis of PF is exclusively based on clinical history
2-physical examination it usually presents with severe sharp
early morning first step inferior heel pain that improves with
movements but aggravated by weight-bearing activities.
3- Imaging by (ultrasound MRI X- Rays)
21. CON…
Use of ultrasonography and magnetic resonance imaging is
reserved for recalcitrant cases or to rule out other heel
pathology findings of increased plantar fascia thickness and
abnormal tissue signal the diagnosis of plantar fasciitis.
22. Clinical Diagnosis
Diagnosis of plantar fasciitis is based on patient history risk
factors and physical examination findings.
Most patients have heel pain and tightness after standing up from
bed in the morning or after they have been seated for a
prolonged time.
23. CON..
Typically the heel pain will improve with ambulation but could
intensify by day's end if the patient continues to walk or stand
for a long time.
On physical examination patients may walk with their affected
foot in an equine position to avoid placing pressure on the
painful heel.
24. CON…
Palpation of the medial plantar calcaneal region will elicit a sharp
stabbing pain Passive ankle first toe dorsiflexion can cause
discomfort in the proximal plantar fascia it can also assess
tightness of the Achilles tendon.
Other causes of heel pain should be sought if history and
physical examination findings are atypical for plantar fasciitis.
25. Physical examination for the (PF)
Medial plantar region of the
heel where most pain is
elicited when pressure is
applied during physical
examination or with walking
in patients with plantar
fasciitis.
26. Imaging
Imaging can aid in the diagnosis of plantar fasciitis.
Although not routinely needed initially imaging can be used to
confirm recalcitrant plantar fasciitis or to rule out other heel
pathology.
27. X-rays for the (PF)
Lateral radiography of the
foot showing a large heel
spur
28. Ultrasonography
Ultrasonography is inexpensive and useful in ruling out soft
tissue pathology of the heel.
Findings that support the diagnosis of plantar fasciitis include
proximal plantar fascia thickness greater than 4 mm and
areas of hypoechogenicity.
29. MRI
Magnetic resonance imaging although expensive is a valuable
tool for assessing causes of recalcitrant heel pain.
Diagnostic findings include increased proximal plantar fascia
thickening with increased signal intensity on T2-weighted and
short tau inversion recovery images.
30. MRI for the (PF)
Sagittal T2-weighted
magnetic resonance
imaging showing thickening
of the plantar fascia (short
arrows) and increased
signal intensity (long arrow).
32. 1- Medical Management
When conservative measures fail, surgical plantar fasciotomy
with or without heel spur removal may be employed.
There is a method through an open procedure
percutaneously or most common endoscopic ally that
releases the plantar fascia this is an effective treatment.
33. Red flag
Surgery for plantar fasciitis should be considered only after all
other forms of treatment have failed.
34. The medical intervention
A- Corticosteroids
The most common treatment that has been employed over
the past decades is corticosteroid injections
35. B- Botulinum toxin Type-A
Traditionally botulinum toxin has been used in the treatment of
spasticity and nerve blocks.
Only recently has it found its way into musculoskeletal medicine.
36. CON..
Three RCTs compared the effect of botulinum toxin type-A
(BTA) on heel pain with steroids
The studies reported significant improvements with BTA.
Furthermore patients with plantar fasciitis who received BTA
had significantly longer lasting relief of dysfunction and pain
than those who received placebo further comparative studies
are needed with larger sample sizes.
37. C- Autologous platelet-rich plasma therapy
Platelet-rich plasma (PRP) therapy showed significant
improvements in the 3month follow-up.
The use of PRP improves blood flow at the site of injection
which aids in the regeneration at the site of pain and
inflammation and the boost that occurs after the injections
help the regeneration of the site of pain and inflammation.
39. E-Endoscopic plantar fasciotomy (EPF)
Is a minimally invasive and minimally traumatic surgical
treatment for the common problem of chronic plantar fasciitis.
This procedure is indicated only for the release of the proximal
medial aspect of the fascia in cases that do not respond to
aggressive conservative nonsurgical treatment.
41. 2-physical therapy management
A-Therapeutic exercise
The most common treatments include:
1 strengthening exercise for the fascia .
2stretchingexercise of the gastroconemious
– soleus- plantar fascia.
3 joint mobilization- manipulation.
42. 1-Strength exercise
Similar to tendinopathy management high-load strength training
appears to be effective in the treatment of plantar fasciitis.
High-load strength training may aid in a quicker reduction in pain
and improvements in function.
47. 3-Mobilizations and manipulations
have also been shown to decrease pain and relieve symptoms
in some cases.
Posterior talocrural joint mobs and subtalar joint distraction
manipulation have been performed with the hypomobile
talocrural joint.
Massage for the sole is very effected in this is case.
49. C-Foot orthoses
Foot orthotics are commonly recommended for persons with
plantar fasciitis to aid in preventing overpronation of the foot
and to unload tensile forces on the plantar fascia.
There are many different orthotics available.
50. CON…
Produce small short-term benefits in function and may also
produce small reductions in pain for people with plantar
fasciitis but they do not have long-term beneficial effects.
52. Summery
Plantar fasciitis accounts for a large percentage of cases seen
by podiatric physicians and is often seen by general
practitioners and orthopedic surgeons.
Although most cases respond to 4–6 months of conservative
nonsurgical treatment 10–15% require surgery.
53. Summary
If aggressive conservative treatment for plantar fasciitis fails and
surgery is indicated the endoscopic approach is superior to
conventional open procedures and significantly minimizes
surgical trauma resulting in an earlier return to regular
activities with fewer complications.
54. The References
1-Lee, Tamsin L., and Benjamin L. Marx. "Noninvasive, Multimodality Approach
to Treating Plantar Fasciitis: A Case Study." Journal of acupuncture and
meridian studies 11.4 (2018): 162-164
2- Gonnade, Nitesh. "Regenerative efficacy of therapeutic quality platelet-rich
plasma injections versus phonophoresis with kinesiotaping for the treatment
of chronic plantar fasciitis: A prospective randomized pilot study." Asian
Journal of Transfusion Science 12.2 (2018): 105
55. CON..
3- Al- Boloushi, Z. "Minimally invasive non-surgical management of plantar fasciitis:
A systematic review." Journal of bodywork and movement therapies 2018
4- Hake, Daniel H. "Endoscopic plantar fasciotomy: A minimally traumatic procedure
for chronic plantar fasciitis." The Ochsner Journal 2.3 (2000): 175-178
5- Moyne-Bressand, Sébastien. "Effectiveness of Foot Biomechanical Orthoses to
Relieve Patients Suffering from Plantar Fasciitis: Is the Reduction of Pain Related
to Change in Neural Strategy?." BioMed research international 2018 (2018)
56. CON..
6- Crawford, R. "Diagnosis and treatment of plantar fasciitis." Am Fam Physician
84.6 (2011): 676-82
7-Carlson RE, Fleming LL, Hutton WC. The biomechanical relationship between the
tendoachilles, plantar fascia and metatarsophalangeal joint dorsiflexion angle. Foot
ankle Int / Am Orthop Foot Ankle Soc and Swiss Foot Ankle Soc. 21-1-
2000(18–25)
8- Lemont H, Ammirati KM, Usen N. Plantar fasciitis: a degenerative process
(fasciosis) without inflammation. J Am Podiatr Med Assoc. 2003;93(3):234–7.
57. Last reference from a book
9-Ombregt Ludwig, Bisschop pierre, ter veer Herman
j. A System of Orthopaedic Medicine-E-Book.
Elsevier Health Sciences, 2013.