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Plantar fasciitis - Coggle Diagram
Plantar fasciitis
Subjective
24 hour pattern: worse in morning due to cold stretch of muscle, better when starting to move with it being worse after. Worse at end of day.
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Pain can be very intense, localized to bottom of foot around heel and arch.
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Research
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NICE: avoid agg activities, consider insoles/footwear, pain management, ice and stretches.
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- Referenced Cochrane Database Syst Rev. 2017 - Corticosteroids no evidence that beneficial for more than 1 month.
- Shockwave therapy has long term benefit, advocates it.
- Surgery = Last resort (prox gastroc superior)
- Physio and stretch, around comfort while time ticks.
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Treatment
Activity modification, pain management and stretches.
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