November 15 from 2016 - 16: 24
In this case in particular a patient comes to the consultation clinical Kins because he felt an intense pain in the sole, heel level after support leg in an aerobics class. After the incident the patient reported pain and walking with it is impossible for the sport.
After functional evaluation, palpation, anamnesis, movement tests and interpetración ultrasound, Clinical Kines concluded that the patient had a rupture of the plantar fascia.
Although not very common this type of injury, since the higher incidence of lesions of the plantar fascia are inflammatory (fasciitis) or degenerative (fasciosis), we may come to think that the fascial tissue that foot was previously damaged but still asymptomatic (without pain).
The recovery period in a rupture of the plantar fascia is usually greater than a fasciitis (inflammation) or fasciosis (degeneration). In this case we took 14 weeks to return to physical exercise normally. A period slightly above normal because of the large extent of the damage, visible in ultrasound imaging.
Having identified the injury started a treatment plan according to the degree of this, fully customized and controlling each session the evolution of the injury. We employ the treatment of osteopathy to work all affected joints around the lesion, both foot, ankle, and knee and pelvis involvement / biomechanics involvement a foot injury will have the latter, since we are dealing same kinetic / muscle chain acting together as parts which engage a clock. If one of these pieces, in this case the foot fails, there will be a change in this chain (ankle, knee, hip), in which we will have to review the totality of all your joints and all the muscles of the leg.
In the lesion area itself will make the EPI technique to enhance and stimulate the regeneration process of the plantar fascia. PID is an invasive technique in which provoke electrical shock in the injured area, also with the help of the foot podóloga anesthetizing we get the technique is completely painless.
Add to treatment an exercise plan progressively, depending on the phase in which the regeneration process and feelings of the patient is in terms of pain, to strengthen the plantar fascia adjacent muscles and improve balance and proprioception miembor lower in general.
Finally, the podiatrist carries out a thorough study of the footprint both statically and dynamically to detect and correct changes that are related to the process of the injury. In this particular case Cavus foot that causes an overvoltage across the back leg chain, especially in the plantar region where the plantar fascia lies was detected.
Finally, we recommend and explain to the patient and improve the flexibility of the entire muscular posterior chain leg to release tensions that may again affect the fascia and insoles to correct foot biomechanics and prevent possible overloads that could lead a new future injury.
At the end of 14 weeks the patient returns as normal to his sports activity without any hassle.