Page 64 - 2021 IDMT Digital

PLANTAR FASCIITIS
Introduction:
• 3ODQWDU )DVFLLWLV LV SDLQ DW WKH VLWH RI WKH LQVHUWLRQ RI WKH SODQWDU IDVFLD LQWR WKH FDOFDQHXV
• 5LVN IDFWRUV IRU SODQWDU IDVFLLWLV LQFOXGH
o 6HGHQWDU\ OLIHVW\OH REHVLW\ YHU\ KLJK RU ORZ DUFKHV RI WKH IHHW ZHDU RI KLJK
KHHOV DQG WKRVH ZKRVH RFFXSDWLRQV UHTXLUH ORQJ KRXUV RQ WKHLU IHHW

Subjective:
• 6LJQV DQG 6\PSWRPV
o 3DLQ DW WKH ERWWRP RI WKH KHHO ZLWK ZHLJKW EHDULQJ
o 3DLQ XVXDOO\ ILUVW WKLQJ LQ WKH PRUQLQJ
o 3DLQ LPSURYHV WKURXJKRXW WKH GD\
o 0D\ FRPSODLQ RI IHHOLQJ OLNH VRPHWKLQJ LV VWXFN LQ WKHLU VKRH
• )RFXVHG +LVWRU\
o 2FFXSDWLRQ
o 3DLQ ZRUVH LQ WKH PRUQLQJ ZLWK LQLWLDO VWHSV
o 3DLQ LPSURYHV DV WKH IRRW VWUHWFKHV RXW
Objective:
• 3K\VLFDO ([DP
o 7HQGHUQHVV WR SDOSDWLRQ DW WKH LQVHUWLRQ RI WKH SODQWDU IDVFLD LQWR WKH KHHO
o 7HQGHUQHVV WR SDOSDWLRQ DORQJ WKH PHGLDO ERUGHU RI IDVFLD LQVWHS
o 0LOG VZHOOLQJ PD\ EH QRWHG
o 3UHVVXUH ZLWK WKXPE DW FDOFDQHXV ZKLOH SDWLHQW IRRW LQ GRUVLIOH[LRQ ZLOO HOLFLW SDLQ
Assessment:
• 'LIIHUHQWLDO
o 7UDXPDWLF UXSWXUH RI WKH SODQWDU IDVFLD HFFK\PRVLV VZHOOLQJ RYHU SUR[LPDO
SODQWDU IDVFLD
o 6FLDWLFD UDGLDWLQJ SDLQ IURP SUR[LPDO VRXUFH
o 7DUVDO WXQQHO V\QGURPH SDUHVWKHVLDV DQG QXPEQHVV LQ ERWWRP RI IRRW
o &DOFDQHDO IUDFWXUH WUDXPD OLNHO\ D IDOO IURP KHLJKW
Plan:
• $YRLG DJJUDYDWLQJ DFWLYLWLHV XQWLO SDLQ IUHH
• ,FH ERWWOH PDVVDJH ZDWHU ERWWOH WUHDWPHQW LQ WKH PRUQLQJ
• 16$,'V VKRUW WHUP
• If certified in Battlefield Acupuncture (BFA) and with preceptor concurrence, consider
administering up to 10 treatment sessions as an alternative to NSAIDs as long as
there is clinical benefit and no worsening of the patient’s condition
• 6WUHWFKLQJ H[HUFLVHV
• $LU +HHO

[ 63 ]