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LA and Plantar fasciitis

Discussion in 'United Kingdom' started by betafeet, Jul 15, 2008.

  1. betafeet

    betafeet Active Member


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    Has any body used or can direct me to any research on LA used in the treatment of Plantar fasciitis.

    Jude
     
  2. Admin2

    Admin2 Administrator Staff Member

  3. betafeet

    betafeet Active Member

    Thank you for that it will be a great help especially now after watching Bill do a tibial block at Markyate.

    Jude

    Quote "Please see Pavier J C S and Liggins W J, 'The Use of 0.5% bupivacaine hydrochloride plain solution injections in the treatment of plantar fasciitis', British Journal of Podiatry Vol 4 No3. (August 2001). Essentially, this was a brief audit of 25 patients who underwent infiltration of L.A. under tibial block. All were recalcitrant cases, 44% achieved total resolution of symptoms and the mean percentage reduction in pain was 76.8%.

    As with all such studies, the low patient number may be relevant and the mechanism of action is not known. There is, however, a pretty good list of references carried out, I am grateful to note, by my co-researcher!

    Hope this is helpful, please let me know if you go on to a further study.

    All the best

    Bill liggins"
     
  4. Stanley

    Stanley Well-Known Member

    Bill,

    I see you used a tibial block. Marvin Steinberg used to block the posterior tibial nerve as his treatment for plantar fasciitis. His rationale was that he was blocking the sympathetic nerves, and therefore increasing circulation. The increased circulation helped with healing.
    Did you compare the blocks by themselves versus the blocks plus local infiltration?

    Regards,
    Stanley
     
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