Rupture of the Plantar Fascia - Everything You Need To Know - Dr. Nabil Ebraheim
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- เผยแพร่เมื่อ 30 ก.ย. 2024
- Dr. Ebraheim’s educational animated video describes the condition of Plantar Fascia Rupture.
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Rupture of the Plantar Fascia
Plantar fascia rupture is not a very common injury, and it has the characteristic of acute pain in the arch of the foot. It occurs due to a tear in the plantar fascia, and that tear is painful. Rupture is often associated with long standing flat feet deformity or can occur from steroid injections. Another predisposing factor for plantar fascia rupture is plantar fasciitis.
Anatomy
The plantar fascia is formed by three bands: the medial, the central, and the lateral. The plantar aponeurosis is the central part of the plantar fascia. The plantar fascia is inserted into the medial tuberosity of the calcaneus and extends distally, becoming broader and thinner. The plantar fascia acts as a bow string.
The rupture of the plantar fascia may be misdiagnosed as plantar fasciitis. When the plantar fascia tears, the patient will describe a tearing pain that usually occurs during athletic activity. The tear may be complete or incomplete. Complete tear of the plantar fascia occurs from sudden trauma or injury. The patient feels “popping” or “snapping” suddenly. Walking will be very difficult with tenderness, swelling and significant bruising on the sole of the foot (the condition is painful). Some patients may have a noticeable tightness of the calf muscle (equinus contracture) in association with rupture of the plantar fascia. Partial rupture is less common and occurs from overuse, as in running. MRI will identify the rupture, and it can also identify if the rupture is partial or incomplete. Rupture is often in the arch of the foot opposed to where the plantar fascia inserts into the heel (calcaneus). Ultrasound has the same accuracy as MRI for imaging the plantar fascia. Interpretation of the plantar fascia rupture may be difficult. You may need dynamic maneuvers with dorsal flexion of the forefoot to stretch the plantar fascia. Usually the proximal part of the plantar aponeurosis is clearly visualized on ultrasound. MRI is probably better in diagnosis plantar fascia rupture.
Treatment of Plantar Fascia Rupture
-Non-Weight Bearing for 2-3 Weeks
-Walking Boot
-Crutches
-Physical Therapy
-Surgical Treatment is the last resort.
-Could be used in some athletes who continue to have pain despite a well conducted conservative treatment
-Surgery is done to release the fascia and the excise the scar
Patients with rupture of the plantar fascia typically achieve a favorable outcome with return to full activity.
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Had a partial rupture when I was in the Army. We used to run a lot. They gave me 30 days of no PT. Went back to running and had another partial tear...same 30 days...went back to running again and had a complete rupture. My foot swole up so big. I was in a walking cast for over a year bc it would not heal properly. Ended my military career and I've never been able to run again. I had ultrasonic treatment and that helped me to heal very quickly, but cannot run on it.
I had the similar thing happen. They refused to let me have the full time recommended off my feet so it got worse instead of better.
Dr. Nabil…you’re exactly right….some doctors diagnosed pain associated in that area with plantar fasciitis in my case MRI confirmed a slight partial ruptured of my plantar fascia , I have been receiving PRP treatment just finished my first treatment, finished steroids shots, they do not work for me….barely walking right now and when I have to walk am using an air boot, have new insoles…I’m 56 yrs old still playing sports, changed my old cleats for the same style bought new ones and everything happened…I stretch every day and it happened turning from first base to second at fast pace…just felt a burning sensation in my heel …after the game was over could not walk well, heel area was extremely irritated, it’s been almost 8 weeks and still feeling some slight pain but is not constantly like in the past , after walking with my boot. Just want to get back to normal. Thanks for the video, it was right on with me.
Thank you this was more useful than my actual doctor.
Just left the doctor, only was recommended pain meds. Taking it upon myself to get a walking boot
The BEST explanation I ever see. THANK YOU👏🏻👏🏻👏🏻👏🏻👏🏻👏🏻👏🏻
Thorough explanation; good visuals. This is what my doctor diagnosed me with. It was due to a sudden trauma to the foot.
I had an incomplete tear once.. Trust me it was hurt as shit. Please don't rupture your plantar fascia
Thank you kind Sir, very helpful.
Thank you sooooo much.
This video does such a great job of explaining the key points. Wish I would have watched this years ago. I have torn my plantar fascia over the years playing basketball. The first time it took over six months to go away. Sports medicine, massage, rollers balls, not sure what finally fixed it. Probably just time.
I injured it again more recently playing basketball. The sore heel feeling that won't go away. I took it a little easier and stopped playing basketball, but continued to play squash 1-2 times a week. That was a mistake because i played yesterday and felt the pop feeling when the plantar ruptures, and went down. A VERY different feeling than in the past, like the elastic broke.
This video was very helpful in explaining the situation and what i need to do. Now out of commission for a few weeks in a boot and then start yo see a physio therapist to rehabilitate. Should have done all of that before it ruptured... This part of the body takes a long time to heal. Do things to increase blood flow in the area!
How are you doing my bro? I'm about 4 weeks in, still hurts and no boot, can barely hobble around on one leg. Please tell me it gets better!
Brilliant many thanks
i am impressed by your excellent education videos, would you give me some advices about how to make videos like this? thank. you.
Excellent information Doctor greatly appreciated GOD bless you.
It was helpful you beautiful human
Fantastic video ! Accurate! I could feel that pop and fell to my knees. Had been suffering from fasciitis for months prior, also have the calf pain.
How are you doing my bro? I'm about 4 weeks in, still hurts and no boot, can barely hobble around on one leg. Please tell me it gets better!
So if I have a partial tear and not just plantar fasciitis, the last thing I want to do is stretching and rolling and stretching and rolling like all of the other TH-cam videos tell me to do.
Sir thank you, l would like to ask you how I treat my wife complaining feet pain?
Thank you, I have this now. First bruised heel, walked on front of foot and tried to lift heavy object. It snapped and I am in the most pain of my life! Extremely painful. now there is new purple mark on heel. No pain killers yet, but I should take some. Maybe tomorrow I will go get Ultrasound as I have pins and screws in me that are maybe magnetic so no MRI.
Should I risk getting to hospital?
I will have to go many hours in car and have to get around town to achieve this. ultrasound one side of town hospital other side. Thank you anyone that answers
I have a partial tear. It was painful. No meds needed. If it's the most painful thing you've had, I would say you haven't been through much. Tooth pain is worse. Going through basic training and airborne school with a fractured foot...that's painful.
How are you doing my bro? I'm about 4 weeks in, still hurts and no boot, can barely hobble around on one leg. Please tell me it gets better!
Whos here after The Mountain tore his plantar fascia at WSM 2019?
There are many factors in plantar foot treatment. One place I discovered which successfully combines these is the Rohon foot care (check it out on google) without a doubt the most incredible treatment that I have ever heard of.Check out the amazing info .
My husband and I are both 68 and we started walking for around 30 minutes a day (for about a month). last week we walked over an hour (3 miles) and got really tired. 2 days later, my husband woke up with severe pain on his heels. He did not twist the ankle or heel and we were just tired. Why the sudden heel/foot pain (no bruise mark)? Could this be one of the condition you described?
Thank you for your great information I am praying for no rupture had an MRI two days ago and tomorrow I will find out. Very informative.
Thank you very much.
Best wishes from Brazil.
Many thanks
How to fix it doc. Plz tell its very painful
Legendary! Thank you, Dr.! Greetings from Brazil!
Yes sir your videos are very clear and very informative, clear all doubts and confusion. I am very impressed with your teaching techniques..... Thank you so so much
Thanks for this explanation. I've been having problems with plantar fasciitis in both feet for a while now. I had a cortisone injection into my right heel that helped for about 5 weeks, then last weekend I was walking and something popped in my heel and I couldn't put weight on it. Diagnosed with partial rupture of my plantar fascia and I'm now in a boot.
Very helpful. Thank you.
Very thank y’all
I'm not sure if u will know....I just had a tarsel/Achilles/facia release...it's been about 6 weeks and have a really bad limp is this something pt can work out or would I be stuck walking like this forever? I'd ask my Dr but I barely ever see him...just concerned:(
It was helpful..thanks Dr.
Ruptured my plantar playing softball. Coming up on 2 months recovering still in a boot.
This happened to thor
Richard Beckley same reason I’m watching this video lol
@@bren.r it would've been his year oh well. Steroid use and heavy strain in the band did it to him
I had surgery for the plantar fasciitis n spur now i still cant walk my ankle swelled up n hurts my arch pain is a 9 when walking whats wrong im in worse pain then before my surgery
Great video sir thank you!
I had done the surgery and resting now. Please guide me with correct exercises and physiotherapy
I just traumatically ruptured mine 3 days ago - I wouldn't recommend it :/
Why would you even think of recommending a rupture
How did it heal?
How are you doing my bro? I'm about 4 weeks in, still hurts and no boot, can barely hobble around on one leg. Please tell me it gets better!
As always, thank you very much, Proff. Nabil!
Excellent!
Sometimes, It feels like there is something popping in that part every time I take a step
Can they use electro-acupuncture?
Are you sure?
Answer on comment, please?
Here because of Malcolm Brogdon.
Here because of Hafthor Bjornsson
My case is a rupture with. Assume scar tissue and fluid . All I received yet from my Doctor is complete bed rest for 4 weeks . I got no meds or shots . I am receiving the treatment ?
How are you doing now?
How are you doing my bro? I'm about 4 weeks in, still hurts and no boot, can barely hobble around on one leg. Please tell me it gets better!
Grades✅✅✅✅✅
Sir I'm suffering from pain, past 1 yr....vill it be life long pain...I'm really afraid of this plantar fascitis..coz of this I cld't stand for 1/2 hr..so itz really disturbing me cld u plzz tell how much tym it take to recover or it will be life long
My doctor sucks I've been suffering with pain since October 2018 we've done steroids we've got inserts an got a brace Physical Therapy nothing is relieving it but he refused to do a MRI or an ultrasound to make sure where that's bone spur exactly connected to and to see if it's ruptured he won't do it..
What happens if you don't get this fixed?
You end up like me, in constant pain. :(
Today is my second day on plantar fasciitis treatment plan , Sαnzoka Mula (Go ogle it) and the soreness is 95% gone! It has helped me to stroll and run easily again. Contemplating my improvement, I think I can return to playing soccer by the end of the week. I think that my instructor is wrong about saying that it is not possible to relieve plantar fasciitis within days.
Hi. How are you now? Are you better? What does that treatment consist on?
Its killing please tell wht u do ..
I have like a little ball in size of small bean at my plantar fascia around the middle
Alex Mantzanas Me 2 on both feet, 2 on each foot. Happened from walking my son’s dog. A very strong pit bull. Very painful, stop going to the gym.... I wonder if surgery would make it better??
@@karlasoraya2175 my doctor suggested physiotherapy , if wont work then surgery
I only walked for 4-5 hours that day. I did not force my foot and did not feel any pain. I slept in the evening and when I woke up in the morning there was plantar fasciitis. How can this be? I've taken longer walks before, why is it now? I can not understand.
This is the same as what happened to me except I did have a trauma directly before walking 3 miles home; I knew it could not be plantar fasciitis b/c it didn’t feel like it…finally was diagnosed after mri; now in a boot…
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