Plantar fasciitis is an extremely painful condition, and it is also difficult tor may have a hard time understanding why the treatment options available are relatively limited. This brief summary can help people suffering from plantar fasciitis look at this problem from the point of view of the therapist. This can help patients evaluate alternative treatments like physical therapy.
Etiology of Plantar Fasciitis
This condition is primarily attributed to use physical therapy is indicated when the muscles of the foot are demonstrably weak or similar pathologies are present in the foot.
The assumption that weakness within the internal muscles of the foot causes plantar fasciitis is not based on empirical evidence. Most of the existing literature does not seek tocols that are based on the muscle weakness theory are beneficial for some patients. This is the basis for physical therapists who advocate for this course of treatment. Patients should understand that there is no established agreement in the research fields and that there is no documented correlation between muscle weakness and plantar fasciitis.
Treatment Options
Since treatments rely on muscle strengthening exercises to minimalist footwear and specific exercises targeting the flexor hallicus longus and brevis muscle group.
Our clinic strives to reflect the latest innovations in reducing foot pain while increasing strength and function.
About the Author
Dr. Lev Kalika is a world-recognized expert in musculoskeletal ultrasonography, with 20+ years of clinical experience in advanced rehabilitative medicine. In addition to operating his clinical practice in Manhattan, he regularly publishes peer-reviewed research on ultrasound-guided therapies and procedures.
Dr. Kalika is an esteemed member of the International Society for Medical Shockwave Treatment ((SMST), and the only clinician in New York certified by the ISMST to perform extracorporeal shockwave therapy. He is also an active member of the American Institute of Ultrasound in Medicine (AIUM), and has developed his own unique approach to dynamic functional and fascial ultrasonography.
In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.
Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.
The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.
Dynamic ultrasonography examination demonstrating the full thickness tear and already occurring muscle atrophy due to misdiagnosis and not referring the patient to proper diagnostic workup
Demonstration of how very small muscle defect is made and revealed to be a complete tear with muscle contraction under diagnostic sonography (not possible with MRI)
Complete tear of rectus femoris with large hematoma (blood)
Separation of muscle ends due to tear elicited on dynamic sonography examination
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