Plantar Fasciitis

Iontophoresis Protocol: Plantar Fasciitis

ETIOLOGY

Plantar fasciitis may occur anywhere along the plantar fascia. Commonly it affects the fascia at its origin, at the medial tuberosity of the calcaneus, or along the medial aspect of the fascia. Inflammation here may result from:

•    repeated overload to the fascia (e.g. through running)

•    a pronated foot which has a flattened longitudinal arch.

•    a high-arched, rigid foot.

•    a sudden increase in body weight.

•    a sudden increase in activity level.

Secondarily, if the problem is left untreated, often the in­flammatory reaction at the calcaneus will produce a bone spur or. in extreme cases, calcification of the fascia itself.

  • Typical Dispersive Pad Site (Gastrocnemius)

  • Tibia

  • Fibula

  • Calcaneus

  • Typical Drug Electrode Sites

  • Plantar Fascia

Usually, the pain begins as a dull ache, progressing to a chronic, sharp pain.   Commonly, the pain is worse upon arising, with the first few steps, and lessens as the plantar fascia stretches.


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IONTOPHORESIS PROCEDURE


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IONTOPHORESIS PROCEDURE

IMPORTANT: See Phoresor System and electrode instruc­tion guides for indications, contraindications, warnings, pre­cautions and directions...
PATIENT EVALUATION


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PATIENT EVALUATION

A.    Subjective: •    Patient complaint •    Location •    Onset and...
RE-EVALUATION


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RE-EVALUATION

In addition to patient's subjective reports, check for: decreased pain, decreased tenderness to palpation and full weightbearing without pain. ...
WHY IONTOPHORESIS IS APPROPRIATE THERAPY


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WHY IONTOPHORESIS IS APPROPRIATE THERAPY

Iontophoretic drug delivery for the condition of plantar fasciitis provides an alternative to hypodermic injection of corticoste­roids, with...


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