Episode 2: PLANTAR FASCIITIS
Anatomy - The plantar fascia is made up of 3 distinct parts: the medial, central, and lateral bands on the bottom of the foot.
There are many treatment options when patient experience heel pain.
Rest and activity modification, although helpful may not be practical, particularly for more active individuals and for those whose jobs require standing.
Physical Therapy or home stretching is the initial physical treatment for plantar fasciitis that emphasizes stretching of the calf and foot.
NSAIDs or Corticosteroids (anti-inflammatory medications) are frequently used to treat plantar fasciitis. Corticosteroids can be administered either orally or via injections.
Orthotics help support the arch and limit the motion the foot experiences.
A fasciotomy in some cases surgery may be required. A plantar fascia release provides significantly improved outcomes for patients with severe symptoms.
This is dedicated to my Grandmother Evelyn Trache, she passed away a few years ago at the age of 95. Her life and spirit were inspiring for me, so this series is dedicated to her. So join in with the discussions.
PODIATRY DOC TALK
As I read the latest journal article on antibiotic resistance on diabetic ulcers, I realize they failed to ask the difficult question.
Antibiotic resistance is a real issue. All chronic wounds contain bacteria; it is the determination between contaminated & colonized and critical colonization & infection. Each wound will behave differently.
The FDA has approved only two systemic antibiotics in the past five years, almost a 90% drop-off from 1985.
Inappropriate overuse of antibiotics leads to resistance with profound ramifications.
Why did the article failed to ask physicians for an honest answer in determining their treatment decisions?