Re: plantar fasciitis
Terry Supan
Description
Collection
Title:
Re: plantar fasciitis
Creator:
Terry Supan
Date:
5/19/1999
Text:
Cameron,
I have been using PQ/foam foot orthoses for this diagnosis for 8 or 9 years
now. The usual current design is made over a modified foam-art cast. I use
controlled weight bearing but my partner uses a non weight bearing cast.
If a heel spur or other hot spot is identified, I will create a relief in the
foam. For P/F we are currently using 1-8 in microcel as the foam top layer but
have used pelite in the past. (Usually use plastizote for Diabetic and RA
conditions.) The PQ is 1/4 thick under the heel and tapered to 1/8 under met.
heads and toes. Patient have to use this design with shoes with removable
insoles. The principles for relief are longitudinal arch support, relief at
origin of plantar fascia, cushion heel at initial contact, and elevate the heel
to reduce pull from Achilles tendon.
The PQ is a two part urethane gel material that is available from the original
supplier, Reicken's, or Knit Rite (possibly other distributors). We have about
a 90-95% success rate with this design from an outcome study done here at the
University. Patient with pain radiating up the leg to the ankle area seam to
do worse and need more modifications. Terry Supan, CPO
Algonquin Orthopaedics wrote:
> Hi All,
>
> I have 69 yr old woman I've been treating since Jan 1/99 for bilateral
> plantar fasciitis, L>>R. Previous to my treatment she wore 3/4 length rigid
> foot orthoses for 9 years. It is unclear whether she had PF during these 9
> years. I have custom made a full length pair of semi-rigid foot orthoses
> (firm and xtrafirm nickleplast, PPT). The condition remained unchanged for
> approx. 3 months and since then she has worn a left night-time AFO set at
> ~85 degrees (ie neutral -5 degrees). She also has followed exercise
> modalities I've provided to her on a daily basis. Xrays of her foot are
> pending.
>
> Since receiving the foot orthoses and AFO her condition has not worsened
> but continues to cause typical plantar fasciitis pain. I'm contemplating a
> UCBL foot orthosis for better calcaneal control at this point.
>
> Does anybody have any further suggestions?
>
> TIA
>
> Cameron Renwick, C.O.(c)
> Algonquin Orthopaedics
> 228 Main St. W.
> Huntsville, Ont., Canada
> P1H 1Y1
> 705.787.0797(8)
> 705.787.0799 (fax)
> www.orthotics.on.ca
> <Email Address Redacted>
I have been using PQ/foam foot orthoses for this diagnosis for 8 or 9 years
now. The usual current design is made over a modified foam-art cast. I use
controlled weight bearing but my partner uses a non weight bearing cast.
If a heel spur or other hot spot is identified, I will create a relief in the
foam. For P/F we are currently using 1-8 in microcel as the foam top layer but
have used pelite in the past. (Usually use plastizote for Diabetic and RA
conditions.) The PQ is 1/4 thick under the heel and tapered to 1/8 under met.
heads and toes. Patient have to use this design with shoes with removable
insoles. The principles for relief are longitudinal arch support, relief at
origin of plantar fascia, cushion heel at initial contact, and elevate the heel
to reduce pull from Achilles tendon.
The PQ is a two part urethane gel material that is available from the original
supplier, Reicken's, or Knit Rite (possibly other distributors). We have about
a 90-95% success rate with this design from an outcome study done here at the
University. Patient with pain radiating up the leg to the ankle area seam to
do worse and need more modifications. Terry Supan, CPO
Algonquin Orthopaedics wrote:
> Hi All,
>
> I have 69 yr old woman I've been treating since Jan 1/99 for bilateral
> plantar fasciitis, L>>R. Previous to my treatment she wore 3/4 length rigid
> foot orthoses for 9 years. It is unclear whether she had PF during these 9
> years. I have custom made a full length pair of semi-rigid foot orthoses
> (firm and xtrafirm nickleplast, PPT). The condition remained unchanged for
> approx. 3 months and since then she has worn a left night-time AFO set at
> ~85 degrees (ie neutral -5 degrees). She also has followed exercise
> modalities I've provided to her on a daily basis. Xrays of her foot are
> pending.
>
> Since receiving the foot orthoses and AFO her condition has not worsened
> but continues to cause typical plantar fasciitis pain. I'm contemplating a
> UCBL foot orthosis for better calcaneal control at this point.
>
> Does anybody have any further suggestions?
>
> TIA
>
> Cameron Renwick, C.O.(c)
> Algonquin Orthopaedics
> 228 Main St. W.
> Huntsville, Ont., Canada
> P1H 1Y1
> 705.787.0797(8)
> 705.787.0799 (fax)
> www.orthotics.on.ca
> <Email Address Redacted>
Citation
Terry Supan, “Re: plantar fasciitis,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 8, 2024, https://library.drfop.org/items/show/211841.
