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Doctor insights on: Plantar Fascia Tear Recovery

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Can a tens unit help heal a plantar fascia tear?

Can a tens unit help heal a plantar fascia tear?

Doubtful: A tens unit may provide a small amount of pain relief but will not accelerate healing. ...Read more

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What do these symptoms mean? Severe degeneration of the central cord to the plantar fascia with a moderate partial tear at the origin as well as a sli

What do these symptoms mean? Severe degeneration of the central cord to the plantar fascia with a moderate partial tear at the origin as well as a sli

Debra - it means: The broad banded ligament that attaches from the heel to the toe region is not at full capacity, it is degenerated or worn away with a slight tear (usually very painful.)
For something like this if very painful, a walking boot is something I recommend.
PRP is something I offer my patients with a partial tear but it is not covered by insurance and is out of pocket. ...Read more

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I had a 5mm tear on my plantar fascia and also had chronic heel pain. I decided to go with tenex procedure and had it done. Did I make a good choice?

I had a 5mm tear on my plantar fascia and also had chronic heel pain. I decided to go with tenex procedure and had it done. Did I make a good choice?

Plantar fasciitis: We usually don't start with something like the Tenex procedure for plantar fasciitis. Typical standard of care treatments should first include shoe modification, stretching exercises, orthotics, pain medication, injections, taping. If all fail, then other forms of treatment modalities can then be utilized. ...Read more

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MRI on foot showed complete tear of central cord of plantar fascia with lateral and medial fascia intact with 2cm fibroma in arch. How to treat this?

MRI on foot showed complete tear of central cord of plantar fascia with lateral and medial fascia intact with 2cm fibroma in arch. How to treat this?

Torn Plantar fascia: You should be immobilized for a short time to take pressure off the injury, but this is a ligament tear, and rest and possible anti-inflammatory therapy (including possible cortisone injections) would be of benefit. The ligament does not need to be repaired; in fact, a 'controlled tear' of the tendon is the preferred surgical method for treating plantar fasciitis. You will likely need orthotics. ...Read more

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What is the best way to recover from a torn plantar fascia?

It depends: How severe the plantar fascia rupture is will dictate what treatment might be necessary. In smaller tears, rest, ice, elevation, oral antiinflammatories can be enough. The pain and disability can be severe, and might require a period of nonweightbearing using crutches or a cam walker. Talk to your doctor as to what course is best for you. Good luck. ...Read more

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Could I have torn my plantar fascia even though there is no bruising?

Could I have torn my plantar fascia even though there is no bruising?

Yes: It may be torn without any bruise. More likely is pain, increase in skin temp and swelling. See a podiatrist for treatment. ...Read more

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How do they treat plantar fascia rupture?

How do they treat plantar fascia rupture?

Support: The fascia, immobilize the foot in a cam walker is another option. I like to inject "platelet rich plasma" injections and then place the patient in a cam walker boot. This is a treamtent I have begun to explore in the past few months and patients so far have been healing quickly. Problem is it is not a covered service. This treatment is also not done by many providers at this time. ...Read more

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How do I know if I tore my plantar fascia? Would I have to have a cast if I did?

How do I know if I tore my plantar fascia? Would I have to have a cast if I did?

Very painful: A ruptured or torn plantar fascia is very very painful and not really hard to diagnose. It is a sudden onset, a lot of bruising and difficult to put any weight on it. There are, however degrees of this injury; complete, partial, micro, even herniations.
Ruptures can be treated with a non weight bearng cast or open repair (and non weight bearing cast). Hopefully you just have fasciitis. ...Read more

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How to know what exercises should I do to stretch my plantar fascia in order to relieve pain from plantar fasciitis?

How to know what exercises should I do to stretch my plantar fascia in order to relieve pain from plantar fasciitis?

OMM: Osteopathic manipulative medicine can be very effective in treating pain in the feet. A variety of manipulative techniques may be brought to bear but especially the relatively new modalities in the fascial distortion model have been particularly helpful for plantar fascitis.
You can also use pulsed electromagnetic therapy and or kinesio taping to help with plantar fascitis. ...Read more

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How to diagnose torn plantar fascia vs. Ruptured plantar fascia? What are effective treatments?

How to diagnose torn plantar fascia vs. Ruptured plantar fascia? What are effective treatments?

Stem Cell Therapy: There are many different options for stem cell therapies in the us. I would suggest you evaluate all of them thoroughly before choosing. So far the only practice that has significant research and patient base regarding stem cell therapy are the Regenexx Physicians Network. They have over 6500 patients in their registry with pretty good results. Check out Regenexx. Com. ...Read more

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I have a ruptured plantar fascia and am at week 8 and am having swelling and pain. Am I a candidate for pro?

Pro?: Not sure what you mean by "pro." perhaps you meant prolotherapy or prp. These are both regenerative type injections used to heal damaged tissue, and the plantar fascia is a potential location. I recommend that if either is performed, that they be done under ultrasound guidance. Both injections can be beneficial, but work gradually. It may take you up to a year to recover, even with injections. ...Read more

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Can gout crystals form on plantar fascia and cause plantar fasciitis while otherwise asymptomatic for gout?

No: No only develops inside a joint like the big toe joint or ankle joint. A joint is where to bone come together. Lumps within the plantar fascia are normally plantar fibromas. Most of the time if they don't hurt we don't do anything about them. ...Read more

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What doctor recommend exercises should I do to stretch my plantar fascia in order to relieve pain from plantar fasciitis?

What doctor recommend exercises should I do to stretch my plantar fascia in order to relieve pain from plantar fasciitis?

Not just exercises!: If you have plantar fasciitis, and hurt most with the first few steps in the morning, the more you can do together, the better: #1: supportive shoes. #2: firm inserts or orthotics. #3: oral antiinflammatories (check with your doctor). #4: stretching your foot and calf. #5: icing (10 min at a time). You may also need physical therapy, cortisone injections, or eswt if available in your area. ...Read more

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I have localized heel pain on the right side of it (not far enough down to be plantar fascia). Could this be a stress fx?

I have localized heel pain on the right side of it (not far enough down to be plantar fascia). Could this be a stress fx?

Xray: Could be a stress fracture or peroneal tendinitis. If rest, ice, and OTC anti inflammatories fail to resolve the pain go see your local podiatrist for evaluation ...Read more

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In general, post cavus surgery (calcaneal&dorsiflex osteotomies, cut plantar fascia, transfer longus to brevis), realistic everyday & sporting ability?

In general, post cavus surgery (calcaneal&dorsiflex osteotomies, cut plantar fascia, transfer longus to brevis), realistic everyday & sporting ability?

Yes: If the surgery is successful, you will be much better than you were before and as such should be able to participate in amucj higher activity level than before surgery. I would discuss your specific case with your surgeon. ...Read more

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Flat feet. Plantar fascia issues. Use superfeet blue (low support), stretch and ice. Is more arch support needed or will it make things worse?

Flat feet. Plantar fascia issues. Use superfeet blue (low support), stretch and ice. Is more arch support needed or will it make things worse?

You would want to: Put your foot into a "neutral position".
Maximizing the arch height is something to try. Not everyone can tolerate it. ...Read more

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Sprained my Plantar Fascia, seems to be healing good but when I stand my leg and foot turns red and it hurts. Lying back down the symptoms subside.

Sprained my Plantar Fascia, seems to be healing good but when I stand my leg and foot turns red and it hurts. Lying back down the symptoms subside.

Could be a Problem.: You symptoms are describing to some extent a deep vein thrombosis. This condition, can be extremely dangerous and you need to take immediate action to have it treated. The fact that your leg also turns red and hurts is troubling. Call your family physician immediately. In the mean time, elevate your leg and apply moist heat. This is one time where it is better to be safe than sorry. ...Read more

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Pain when moving on feet in plantar fascia and tender in fasia with massage. Is the darco body armor night splint a good splint? Anyone better or not?

Pain when moving on feet in plantar fascia and tender in fasia with massage. Is the darco body armor night splint a good splint? Anyone better or not?

Ask your doctor: Night splints can be a useful adjunct in treating stubborn plantar fasciitis, and it has its place with other modalities such as antiinflammatories (oral and injected), stretching, foot orthoses, etc. Talk to your doctor what approach or combination of modalities will work best for you. The darco is as a good of quality device as most other medical "name brands". ...Read more

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I was diagnosed with plantar fascitis. Pain in plantar fascia not heel. Started in left foot and now right. Tender when massage.?

That is consistent: What you are describing can be consistent with plantar fasciitis. Pain can be in the arch and/or heel area. A good treatment plan can include stretching exercises, good supportive shoes (including arch supports) and antiinflammatories. Sometimes steroid injections or physical therapy is required. Thought this can be stubborn, most cases are resolved before surgery. ...Read more

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Hit on right heel by shopping cart foot bent under cart heard a pop in my plantar fascia now pain bottom of foot & Achilles tendon what to do?

Hit on right heel by shopping cart foot bent under cart heard a pop in my plantar fascia now pain bottom of foot & Achilles tendon what to do?

Start Now.: By the sound of it, likely a fascia injury and possibly some involvement with the Achilles tendon. These are initially treated in the RICE fashion. (rest, ice, compression and elevation) This will help with the swelling and pain. Avoid bearing weight on the foot until it can be examined and the true extent of the injury can be determined. Use Crutches until you can see a foot and ankle specialist. ...Read more

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My wife has been diagnosed with plantar fascia bursa condition. The doctor told her to use gel heel cups, is this the best solution for her excruciating pain. It becomes difficult for her to even walk.

My wife has been diagnosed with plantar fascia bursa condition. The doctor told her to use gel heel cups, is this the best solution for her excruciating pain. It becomes difficult for her to even walk.

Off load.: Unfortunately, there is no "best" solution. I am not sure as to the descriptors bursal condition and plantar fascia being used together. The bursal sac typically is immediately beneath the heel bone and the fascial inflammation is just in front of the heel. Either way, any weight bearing will only serve to forestall any recovery, quick or long term. Non weight bearing, crutches and heat gets it. ...Read more

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Went to ER for swelling in ball of foot after day of pain walking, diagnosed plantar fascia. No heel pain though- is this possible or something else?

Plantar fascitiis: Does not have to cause pain in the heel it can be anywhere along the length of the fascial tissue. Other possibilities could include a plantar plate tear or stress fracture if the pain was more in the metatarsal region. Follow up with a. Foot doctor if the pain persists. ...Read more

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During foot reconstruction for foot compartment syndrome damage, cut plantar fascia off my heel bone. Will it scar back to heel or remain floating?

During foot reconstruction for foot compartment syndrome damage, cut plantar fascia off my heel bone. Will it scar back to heel or remain floating?

It Will Scar down: The ligament will grow and attach in an elongated status. Massage frequently during the first 8 weeks to minimize scar fibrosis, scaring and use an arch support or orthotic to decrease stress on this plantar fascial ligament. ...Read more

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I have calcaneal stress fracture right where my plantar fascia muscle connects to heel. Been on crutches 4 months. Could it be something else?

I have calcaneal stress fracture right where my plantar fascia muscle connects to heel. Been on crutches 4 months. Could it be something else?

Let me explain: Stress fracture should be healed by know?
How the diagnosis did was done? Mri or bone scans?
Mri is the best available.
If those think were done seek second opinion. ...Read more

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Tear in plantar fascia. Thickened. I've tried cortisone inject., night splint, custom orthotics, pt, stretching. No help. Doc recommending surgery?

Weight loss: If you overweight, weight loss is also important thing to do. You pretty much tried all the treatments. If you worry shout surgery, you can see another podiatrist or orthopedic for second opinion before making decision on surgery. ...Read more

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Why is it called Plantar Fasciitis when it is not a fascia which is inflamed, but the plantar aponeurosis?

Let me try to help: Originally, plantar fasciitis was believed to be an inflammatory condition of the plantar fascia. However, within the last decade, studies have observed microscopic anatomical changes indicating that plantar fasciitis is actually due to a non inflammatory structural breakdown of the plantar fascia rather than an inflammatory process. ...Read more

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What is the treatment for plantar fascia? Can it become worst with walking or exerise

What is the treatment for plantar fascia? Can it become worst with walking or exerise

Ice: Stretching, wearing night splints, wearing orthotics. Walking should not bother, nor should excercise as long as there is no tear in the fascia to start with. ...Read more