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Hello everyone.

This is my first post on this forum (though I have been a lurker for a long time).


I've been out of full-time practice for a number of years now, and I'm a little out of touch. I hope to learn and also contribute where I can.

If I may, I'd like to ask a question right away.

A friend called me from interstate (so I can't check the problem foot in person, so to speak).
His complaint was:
"Left plantar heel and medial pain."

It turns out that this pain has been ongoing for 3 months or so.

He recevied ultrasound results 3 days ago, and here is a summary of the conclusion:
"Severe plantar fasciosis with minimal changes of plantar calcaneal enthesopathy and partial thickness intrasubstance split tearing."

The podiatrist treating my friend has recommended a moon boot for 3 weeks, and then custom orthotics afterwards.
My friend is wondering if the moon boot is necessary (as he is worried about not being able to perform his work duties for 3 weeks).

If anyone has seen any similar cases, what did/would you recommend?

Thanks for any help!

 

He recevied ultrasound results 3 days ago, and here is a summary of the conclusion:
"Severe plantar fasciosis with minimal changes of plantar calcaneal enthesopathy and partial thickness intrasubstance split tearing."
Welcome, i there, sorry, my reply did not submit, not sure at what stage this case is.

The podiatrist treating my friend has recommended a moon boot for 3 weeks, and then custom orthotics afterwards.
My friend is wondering if the moon boot is necessary (as he is worried about not being able to perform his work duties for 3 weeks)
Moon Boots will protect & rest the foot. The results often do not show if it is an acute or chronic tear. I have worked for up to 3 months in a moon boot. The job may dictate if a boot can be worn. If the pain is too severe, work may not be possible anyway. compensatory / avoidance gait can cause more symptoms.

If anyone has seen any similar cases, what did/would you recommend? Moon boot, compression socks, muscle rehabilitation, orthoses & an ease out of the boot can be used successfully.

Cheers

 

Sorry for my late reply. Thanks so much for your response Heather - it has been very helpful.

 

cYou are most welcome, thanks for taking the time to respond. There are so many answers within Podiatry Arena, it is an amazing resource! Thanks Craig & Admin

Cheers