Is plater fasciitis is the most common cause of inferior heel pain?
Dear Sir,
In the article the authors had claimed the plater fasica is the most common cause of inferior heel pain and they have suggested some treatment for it. In my practice I have noticed than planter fasciitis is not the common cause of heel pain but the most common cause is the referred pain from the calf muscles particularly the medial head of gastronemius, althogh the later can be itself due to lumo-sacral pathology.
First of all the there is not aetiology mentioned for the common planter faciitis but certain predisposing factors and the mostly the local treatment that is stretching the Achiles tendon is illogical to treat the plater fascia. The stretching techniques mentioned in the article further over stretch the inflammed planter fascia. In fact the stretching technique relieves the Trigger Point in the medial head of gastronemius.Any practioner in back pain knows that while treating the back pain also relieves the heel pain in significant number of people.
Lastly the symptoms of most common heel pain is the sever pain at the commencement of walking after some rest and the pain deccreases on movement also negate any local planter fascia pathology. In fact there are some patients who have local panter fascia pathology and they become worse after stretching therapy.
The second most common cause after gastronemius muscle is the lesion(Trigger Point) at the quadratus plantae muscle which can be relived by local stretching.
The most evident proof of involvement of medial head of gastronemius is the stretching after cold application or injecting the trigger point with lignocaine with or without steroid immediately relives the heel pain in more than 90% of the patients. And only one or two therapies are required to get a permanent cure.
Rapid Response:
Is plater fasciitis is the most common cause of inferior heel pain?
Dear Sir,
In the article the authors had claimed the plater fasica is the most common cause of inferior heel pain and they have suggested some treatment for it. In my practice I have noticed than planter fasciitis is not the common cause of heel pain but the most common cause is the referred pain from the calf muscles particularly the medial head of gastronemius, althogh the later can be itself due to lumo-sacral pathology.
First of all the there is not aetiology mentioned for the common planter faciitis but certain predisposing factors and the mostly the local treatment that is stretching the Achiles tendon is illogical to treat the plater fascia. The stretching techniques mentioned in the article further over stretch the inflammed planter fascia. In fact the stretching technique relieves the Trigger Point in the medial head of gastronemius.Any practioner in back pain knows that while treating the back pain also relieves the heel pain in significant number of people.
Lastly the symptoms of most common heel pain is the sever pain at the commencement of walking after some rest and the pain deccreases on movement also negate any local planter fascia pathology. In fact there are some patients who have local panter fascia pathology and they become worse after stretching therapy.
The second most common cause after gastronemius muscle is the lesion(Trigger Point) at the quadratus plantae muscle which can be relived by local stretching.
The most evident proof of involvement of medial head of gastronemius is the stretching after cold application or injecting the trigger point with lignocaine with or without steroid immediately relives the heel pain in more than 90% of the patients. And only one or two therapies are required to get a permanent cure.
Competing interests: No competing interests