Plantar Fasciosis

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Plantar Fasciosis

Authors, Editors, Case Information Author: Marlee Franden, OMS-III Affiliation: Rowan-Virtua School of Osteopathic Medicine Co Author(s): Zachary Noll, OMS-III Altamash Raja, D.O. Editor: Nick Moore, MD Clinical Vignette: 49-year-old female with a history of right foot plantar fasciitis presents with sharp, left heel pain after walking for an hour in boots one year prior. The pain is localized to the posterior ankle and proximal plantar aspect and is worsened with ambulation. Two previous corticosteroid injections at the plantar aspect provided no relief. Type of Probe Used: 15-4 MHz Linear Transducer Left plantar foot in short axis Unlabeled left plantar foot in short axis. Right plantar foot in long axis Labeled right plantar foot in long axis demonstrating plantar fascia measured at 3.4 mm in thickness. PF = plantar fascia FDB = flexor digitorum brevis Right plantar foot in long axis Unlabeled right plantar foot in long axis. Left plantar foot in short axis Labeled left plantar foot in short axis. PF= plantar fascia Left plantar foot in long axis with doppler Unlabeled left plantar foot in long axis with doppler. Left plantar foot in long axis Unlabeled left plantar foot in long axis. Left plantar foot in long axis with doppler Labeled left plantar foot in long axis with doppler demonstrating a thickened and hypoechoic plantar fascia without any hyperemia. PF = plantar fascia Left plantar foot in long axis Labeled left plantar foot in long axis demonstrating a thickened and hypoechoic central cord of the plantar fascia, measuring 6.9 mm at its largest portion. PF = plantar fascia FDB = flexor digitorum brevis Interpretation Image Interpretation: The central cord of the plantar fascia was thickened and hypoechoic without any hyperemia. The largest portion of the thickened fascia measured 6.9 mm. Sonopalpation did reproduce pain at this location. The contralateral plantar fascia measured 3.4 mm suggesting plantar fasciosis in the symptomatic foot.
NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

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Authors, Editors, Case Information

Left plantar foot in short axis

Right plantar foot in long axis

Right plantar foot in long axis

Left plantar foot in short axis

Left plantar foot in long axis with doppler

Left plantar foot in long axis

Left plantar foot in long axis with doppler

Left plantar foot in long axis

Interpretation

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