Bone metastasis as the first symptom of lung cancer is common, particularly in the axial skeleton. The calcaneus is an unusual site of metastatic involvement. Chronic plantar heel pain (CPHP) is one of the most common complaints of the foot requiring medical treatment. The most typical symptom of CPHP is pain under the medial heel during weight-bearing, and this symptom is therefore generally i...

As a potential means to decrease their risk of injury, many runners are transitioning into barefoot running. Habitually shod runners tend to heel-strike (SHS), landing on their heel first, while barefoot runners tend to mid-foot or toe-strike (BTS), landing flat-footed or on the ball of their foot before bringing down the rest of the foot including the heel. This study compared muscle activity,...

+Scanlan, S F; Favre, J; Andriacchi, T P + Stanford University, Stanford, CA, 2 VA Palo Alto Health Care System, Palo Alto, CA [email protected] INTRODUCTION: It has been suggested that the spatial variations in the morphology and mechanical properties of articular cartilage are conditioned to the cyclic loading during ambulation [1]. Specifically it has been shown that regional variation i...

Plantar fasciitis, a self-limiting condition, is a common cause of heel pain in adults. It affects more than 1 million persons per year, and two-thirds of patients with plantar fasciitis will seek care from their family physician. Plantar fasciitis affects sedentary and athletic populations. Obesity, excessive foot pronation, excessive running, and prolonged standing are risk factors for develo...

ObjectiveThe aim of this study was to test whether an investigational two layer stocking exerting 27–29 mmHg pressure at the medial supramalleolar level, but without compression in foot and heel, is easier put on take off than a standard same class (23–32 mmHg), also assess prevention diurnal oedema with both types stocking.MethodsThis open label randomised controlled trial, which included 47 p...

We describe the case of a 32-year-old woman who developed bilateral heel numbness after obstetric epidural analgesia. We diagnosed her with bilateral neuropathy of the medial calcaneal nerve, most likely due to longstanding pressure on both heels. Risk factors for the development of this neuropathy were prolonged labour with spinal analgesia and a continuation of analgesia during episiotomy. Pa...

Skin defects of the heel have frequently been reconstructed using the medial plantar flap; however, forefoot coverage has remained a challenge, because the alternatives for flap coverage have been very limited. We describe a case of malignant melanoma on the lateral forefoot that was radically removed and reconstructed successfully with a distally based medial plantar flap, together with a free...

BACKGROUND Radiofrequency (RF) treatment is a minimally invasive procedure that has been used for more than 3 decades in treating various chronic pain syndromes. Conventional (continuous) RF treatment occasionally results in worsening or even initiating a new type of pain. The use of pulsed radiofrequency (PRF), which has a non- or minimally neurodestructive neuromodulatory effect, serves as an...

Sixteen rabbits were immunised against ovalbumin using the 2injection, 4-week regime described by Cooke (1988). At the end of the immunisation period, the animals were terminally anaesthetised with sodium pentobarbitone (average dose 42 mg kg, followed by an infusion of 19 mg kg h). Reflexes were evoked in the medial gastrocnemius (MG) muscle by electrical stimulation of the skin at the heel, a...

The ZeroG provides dynamic body weight support (BWS) using a harness while individuals with mobility impairments (e.g., spinal cord injury) ambulate overground. Muscle activity during locomotion using this device was studied in 13 nondisabled adults (age 23.8 +/- 2.7 yr). Electromyography (EMG) recordings were collected from tibialis anterior (TA), medial gastrocnemius (MG), rectus femoris (RF)...