Mechanical heel pain is one of the most frequent conditions presented to foot and ankle specialists. Plantar heel pain is responsible for the majority of mechanical heel pain cases. Plantar heel pain is defined as insertional heel pain of the plantar fascia with or without a heel spur (Fig. 1). The most common cause cited for plantar heel pain is biomechanical abnormalities that lead to patholo...

Background & aim: Warm compression is an effective method preferred in relieving pain. It enables procedures to be completed in a shorter time, and with less pain due to increasing blood flow in the area. This study aimed to investigate the effects of warm compress applied before heel lance on the procedure time, level of pain, and comfort level of healthy term newborn...

BACKGROUND Eccentric exercises have the most evidence in conservative treatment of midportion Achilles tendinopathy. Although short-term studies show significant improvement, little is known of the long-term (>3 years) results. AIM To evaluate the 5-year outcome of patients with chronic midportion Achilles tendinopathy treated with the classical Alfredson's heel-drop exercise programme. STU...

OBJECTIVE To explore the effect of extracorporeal shock wave therapy in patients with chronic plantar faciitis. METHODS The prospective study was conducted at Department of Orhopaedic, Regional Hospital, Limerick, Ireland from January to December 2004 and comprised 70 heels in 62 patients with chronic plantar fasciitis in whom conventional conservative treatment consisting of non-steroidal an...

Extracorporeal shockwave therapy (ESWT) has demonstrated efficacy in the treatment of recalcitrant proximal plantar fasciitis. The objective of this investigation was to compare the outcomes of participants treated with a new ESWT device with those treated with placebo. A total of 172 volunteer participants were randomized in a 2:1 active-to-placebo ratio in this prospective, double-blind, mult...

The majority of plantar heel pain is diagnosed as plantar fasciitis or heel spur syndrome. When history or physical findings are unusual or when routine treatment proves ineffective, one should consider an atypical cause of heel pain. Stress fractures of the calcaneus are a frequently unrecognized source of heel pain. In a normal populatıon, the possibility of calcaneal stress fractures must be...

BACKGROUND Impulsive forces in the knee joint have been suspected to be a co-factor in the development and progression of knee osteoarthritis. We thus evaluated the impulsive sagittal ground reaction forces (iGRF), shock waves and lower extremity joint kinematics at heel strike during walking in knee osteoarthritis (OA) patients and compared them to those in healthy subjects. SUBJECTS AND MET...

BACKGROUND Plantar fasciitis affects nearly 1 million people annually in the United States. Traditional nonoperative management is successful in about 90% of patients, usually within 10 months. Chronic plantar fasciitis develops in about 10% of patients and is a difficult clinical problem to treat. A newly emerging technology, low-level laser therapy (LLLT), has demonstrated promising results f...

Background Excessive body weight can have a profound influence on weight bearing structure and function, including pain, disability, and compromised quality of life. A prospective cohort study of 5,784 people over the age of 50 years, showed that obesity was a strong predictor of the onset of severe disabling knee pain.[1] Similarly, increased weight was found to have an association with chroni...

objectives: knee osteoarthritis (oa) is a leading cause of disability in older adults. in current study, the effects of three types of orthoses on pain reduction were evaluated in oa patients in iran. methods & materials: in this prospective clinical trial, thirty six patients consisting of 11 men and 25 women with age (mean±sd) of 54.56±2.82 years and diagnosis of mild to moderate knee oa incl...