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Inferior heel pain
Published in Maneesh Bhatia, Essentials of Foot and Ankle Surgery, 2021
Dishan Singh, Shelain Patel, Karan Malhotra
Heel spurs are present in up to 25% of the population. Importantly whilst they may be seen in patients presenting with plantar fascia pathology, they are an incidental finding and not the cause of pain or a sign of pathology. The spur is instead usually a point of attachment for the flexor digitorum brevis which is deep to the plantar fascia. Removal of the spur is therefore not indicated in patients with isolated plantar fascia pathology.
Calcaneus, Foot, and Toe Radiography
Published in Russell L. Wilson, Chiropractic Radiography and Quality Assurance Handbook, 2020
Calcaneus fractures are generally the result of falls from heights that result in compressive force to the calcaneus. Parachuting and pole vaulting can cause these fractures. About 60% of tarsal bone injuries are calcaneus fractures. The fractures are categorized by involvement of the subtalar joint (75%) and not involving the subtalar joint. Patients with calcaneus fractures should also be evaluated for compression fractures in the thoracolumbar region. Stress fractures are common in runners and typically are not seen on radiographs. While not a traumatic fracture, plantar fascitis or heel spurs are common overuse injuries.
Podiatric Medicine and the Painful Heel
Published in Mark V. Boswell, B. Eliot Cole, Weiner's Pain Management, 2005
Infracalcaneal heel pain (heel spur syndrome) can occur if plantar fasciitis progresses and microtears of the proximal fascia occur at the attachment areas to the heel. Low-grade periostitis occurs along with thickening in the area of trauma. Edema and fibroblastic inflammatory cell infiltration can also occur. Periosteal calcification occurs near fascial and tendonous attachments. The infracalcaneal heel spur forms in this manner (Figure 15.4). A “traction” type of spur from excessive pulling of the soft tissue is noted on lateral radiograph of the foot.
Comparison between radial and focused types of extracorporeal shock-wave therapy in plantar calcaneal spur: A randomized sham-controlled trial
Published in The Physician and Sportsmedicine, 2023
Volkan Şah, Şeyhmus Kaplan, Sezai Özkan, Cihan Adanaş, Murat Toprak
It is an undeniable fact that we need to compare available treatments in order to obtain optimal results in the management of diseases. Thus, it is important to study and thus provide the comparative efficacy of radial and focused ESWT types in patients with PCS. Although the conservative approaches including ESWT to PCS have been effectively used in patients with PCS [3,14–18], to the best of our knowledge, no previous study comparing focused ESWT with radial ESWT in the treatment of PCS, specifically. Only one study reported some evidence for focused ESWT being superior to radial ESWT for recalcitrant plantar fasciitis [23]. However, while we were excluding the patients without plantar heel spur, the presence of heel spur was not mandatory in the inclusion criteria of the mentioned study [23]. Therefore, this is the first study on the comparative effects of focused and radial waves on the PCS, specifically. Use the ‘Insert Citation’ button to add citations to this document.
Low-dose radiotherapy (LD-RT) for COVID-19-induced pneumopathy: a worth considering approach
Published in International Journal of Radiation Biology, 2021
Fereshteh Koosha, Atieh Pourbagheri-Sigaroodi, Mohsen Bakhshandeh, Davood Bashash
Degenerative skeletal disorders are one of the most painful nonmalignant diseases, which could make it extremely difficult for patients to continue living. The high prevalence rate of the disease, its severe condition, and patients' reliance on anti-inflammatory drugs and painkillers to improve their living conditions have led to continued efforts to find an appropriate treatment for the disease. Ionizing radiation seems to be a valuable approach to the treatment of this disorder, as a considerable proportion of patients with the painful degenerative joint disorder and periarthritis of the shoulder were obtained acceptable results after administration of LD-RT (Seegenschmiedt et al. 2015; Salomaa et al. 2020). The administration of 3–6 Gy at a rate of 0.35–1 Gy/session in painful knee osteoarthritis could mitigate 60–70% of pain in this disease (Glatzel et al. 2004). Depending on which joint is affected and the duration of the symptoms prior to irradiation, some studies also suggested that LD-RT could induce complete remission in 12–25% of knee osteoarthritis cases (Keilholz et al. 1998; Ruppert et al. 2004). In heel spurs, the administration of 5 Gy fractionated to 0.5 Gy/session (3 sessions/week) could either partially or completely improve the pain in 84–89% of patients (Rödel et al. 2020). A summary of the studies conducted to assess the efficacy of LD-RT in degenerative skeletal disorders was summarized in Table 1.
Tumour necrosis factor inhibitors in enthesitis related arthritis and juvenile spondylarthropathies
Published in Expert Opinion on Orphan Drugs, 2018
Sonographic examination of the joints, effusion, synovial hyperplasia, and increased power Doppler signals can be detected. In some children, the enthesitis can only be detected by the ultrasound and power Doppler examination or magnetic resonance imaging (MRI) but not clinically [14,15]. Especially in the diagnosis of active sacroiliitis, MRI is the method of choice because of radiation exposure in children. The current gold standard in adults and children is the MRI with Short Tau Inversion Recovery (STIR) [16]. STIR sequences without gadolinium can be sufficient for a diagnosis of sacroiliitis [17]. Conventional X-ray diagnostics can detect destruction, ankylosis, and calcifications (heel spur). It is not suitable for early diagnosis of sacroiliitis in children or adolescents.