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If the PF is presing on the nerve and/or causing neuropathy...(in any way posible)
and neuropathy causes loss of sensations
is it "logocal to take the next theory to be true... > that in this situation the person is causing even more damage to the fascia( because of the sensation loss) thereby makeing this to be a CYCLE OF INJURY/PAIN ???
Possible. but I hever seen any loss of sensation in the plantar heel region - in a couple of cases I have seen some inconsistent sensory changes in dermatome of lateral plantar nerve.
__________________
Craig Payne
Department of Podiatry
La Trobe University
Melbourne, Australia http://www.latrobe.edu.au/podiatry
__________________________________________________ ___________________________________ God put me on this earth to accomplish a certain number of things - right now I am so far behind, I will never die.
The views expressed above are those of the author and not that of La Trobe University This is where I am, where are you?
I didnt mean just plantar heel region
i meant any place on the lower leg/foot/sole and peripheral neuropaty that can ocurr
if the injured fascia or any other tisue in the foot (in this case fascia/aponerosis) is causing nerve problems
that way the patient has less "control" over the already injured part of the body
makeing it harder to concentrate on solving the plantar fasciitis issue that started the cycle in the first place
of course this is only in nerve problems folowing folowing heel pain
im in no way trying to make this as cause of heel heel pain or plantar fasciitis
I have a letter-to-the editor 'publication' sent off to Diabetes Care on this. Follow this thought process:
What are the major documented risk factors for plantar fasciitis? - increased bodyweight and restricted range of ankle dorsiflexion.
What do people with type 2 diabetes have? - increased bodyweight and restricted range of ankle dorsiflexion (the LJM).
What does plantar fasciitis look like on ultrasond? - thicker
What does plantar fascia look like on ultrasond in those with diabetes, especially those with sensory neuropathy? - thicker
What else do those with type 2 diabetes have? - increase glycation of the collagen; and sensory neuropathy.
How common is plantar fasciitis in those with diabetic sensory neuropathy? - probably very common.
What is common in Charcot's neuroarthropathy? - ruptured plantar fascia.
See where this is heading?
__________________
Craig Payne
Department of Podiatry
La Trobe University
Melbourne, Australia http://www.latrobe.edu.au/podiatry
__________________________________________________ ___________________________________ God put me on this earth to accomplish a certain number of things - right now I am so far behind, I will never die.
The views expressed above are those of the author and not that of La Trobe University This is where I am, where are you?
This seems logical as diabetics with insensitive feet walk all the time even at the risk of further harm to an already inflamed,thickened plantar fascia.
Plantar Fasciosis Neuropathy
Linear Mode
