Plantar Fascia Rupture - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes rupture of the plantar fascia.
Plantar fascia rupture is an uncommon injury that is characteristic of acute pain in the arch of the foot. Rupture is often associated with long-standing flat feet deformity or can occur from steroid injection.
The plantar fascia is formed by three bands. The plantar aponeurosis is the central part of the plantar fascia. The plantar fascia is inserted into the medial tuberosity of the calcaneus and extends distally becoming broader and thinner.
The plantar fascia acts as a bow string. It is a dynamic stabilizer of the longitudinal arch of the foot. When the plantar fascia tears, the patient will describe a tearing pain that usually occurs during athletic activity.
Walking will be very difficult with tenderness, swelling and significant bruising on the sole of the foot. Some patients may have a noticeable tightness in the calf muscle (quinus contracture) in association with rupture of the plantar fascia.
Rupture of the plantar fascia may be complete or partial and an MRI can identify the rupture. Rupture is often in the arch of the foot opposed to where the plantar fascia inserts into the heal (Calcaneus). Ultrasound has the same accuracy as MRI for imaging of the plantar fascia. Ultrasound interpretation of the plantar fascia rupture may be difficult. Oyu may need dynamic maneuvers with dorsal flexion of the forefoot to stretch the plantar fascia. Usually the proximal part of the plantar aponeurosis is clearly visualized on ultrasound. MRI is probably better at diagnosing plantar fascia rupture.
Treatment of plantar fascia rupture
•Non-weight bearing for 2-3 weeks.
•Walking boot
•Crutches
•Physical therapy.
•Surgical treatment could be used in some athletes who continue to have pain despite a well-conducted conservative treatment. Surgery is done to release the fascia and to excise the scar tissue. Patients suffering from rupture of the plantar fascia typically achieve favorable outcomes with return to activity.

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Background music provided as a free download from YouTube Audio Library.
Song Title: Every Step

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