Plantar fasciitis: a degenerative process (fasciosis) without inflammation.

  title={Plantar fasciitis: a degenerative process (fasciosis) without inflammation.},
  author={Harvey Lemont and Krista M. Ammirati and Nsima Usen},
  journal={Journal of the American Podiatric Medical Association},
  volume={93 3},
The authors review histologic findings from 50 cases of heel spur surgery for chronic plantar fasciitis. Findings include myxoid degeneration with fragmentation and degeneration of the plantar fascia and bone marrow vascular ectasia. Histologic findings are presented to support the thesis that "plantar fasciitis" is a degenerative fasciosis without inflammation, not a fasciitis. These findings suggest that treatment regimens such as serial corticosteroid injections into the plantar fascia… 

Figures from this paper

Biologics in the Treatment of Plantar Fasciitis.

Management of Symptomatic Plantar Fasciitis

Surgical management of plantar fasciitis is considered after an unsuccessful course of nonoperative management, with open or endoscopic release.

Plantar Fascia Disorders

  • F. Draghi
  • Medicine
    Ultrasonography of the Lower Extremity
  • 2019
Plantar fascia disorders are common in the adult population, cause pain and disability, and may curtail the performance of athletic activities, and imaging is of great help for achieving correct diagnosis, prompting appropriate treatment, and aiding in the determination of prognosis.

Plantar Fasciitis: A Concise View on Physiotherapy Management

The symptoms associated with plantar fasciitis are pain and tenderness on the inferior aspect of the calcaneum, and most of the cases respond to conservative treatment.

Plantar Fascial Rupture of the Foot: A case report

This case discusses the clinical evaluation, MRI results and treatment of acute, spontaneous rupture of the plantar fascia, and the MRI differences of plantar fasciitis and plantarfascial rupture.

Endoscopic Plantar Fasciotomy

Endoscopic release has the benefit of direct v?sualization of the plantar fascia with minimal soft tissue trauma.

Percutaneous release of the plantar fascia. New surgical procedure.

With this procedure, skin healing problems, nerve injuries, infection and prolonged recovery time are minimised, allowing early return to normal activities.

Diagnosis and Management of Plantar Fasciitis

Overall, plantar fasciitis carries a good prognosis when patients use a combination of several conservative treatment modalities and occasionally, referral to a specialist may be necessary.

Growth Factors For Chronic Plantar Fasciitis ?

It is entirely possible that our whole paradigm for treating plantar fasciitis is based on a false foundation, especially in light of the histological findings of Lemont, et. al., regarding specimens

Current Concepts Review: Plantar Fasciitis

The plantar fascia is a strong, fibrous aponeurosis that originates from the plantar tuberosity of the calcaneus and fans out into 3 bands that insert into the bases of the proximal phalanges. The



Plantar fasciitis. Etiology, treatment, surgical results, and review of the literature.

Of 27 surgically treated cases followed from one to three years, satisfactory results were obtained in 24 cases, and Histologically, localized fibrosis or granulomatous changes or both were noted in several cases.

Rupture of the plantar fascia in athletes.

Treatment, which included the use of crutches, anti-inflammatory agents, strapping of the arch, and ice packs, was successful in all but one patient who had a painful mass in the area of the previous rupture.

Chronic plantar fascial inflammation and fibrosis.

The authors present two cases involving heel spur syndrome and plantar fasciitis. Histologic changes in the plantar fascia are compared, and changes found in chronic inflammation are discussed.

MR imaging of plantar fasciitis: edema, tears, and occult marrow abnormalities correlated with outcome.

Signs on MR imaging that, to the authors' knowledge, have not been described in the scientific literature for patients with plantar fasciitis were found, including occult marrow edema and fascial tears.

Plantar fascia release for chronic plantar fasciitis in runners

Plantar fascia release was an effective procedure for patients with symptoms of chronic unre sponsive plantar fasciitis whose symptoms had been present for an average of 20 months and had not responded to nonsurgical treatment.

Diagnostic imaging of heel pain and plantar fasciitis.

The various causes of heel pain are outlined and magnetic resonance imaging (MRI) has proven its worth in the diagnosis of heelPain.

Diagnostic imaging of heel pain and plantar fasciitis.

The various causes of heel pain are outlined and magnetic resonance imaging (MRI) has proven its worth in the diagnosis of heelPain.

Complications of Plantar Fascia Rupture Associated with Corticosteroid Injection

It is demonstrated that plantar fascia rupture after corticosteroid injection may result in long-term sequelae that are difficult to resolve.

Plantar Fascia Rupture Associated with Corticosteroid Injection

In all 37 patients, there was a palpable diminution in the tension of the plantar fascia on the involved side, and footprints often showed a flattening of the involved arch, leading the author to conclude that plantar Fascia rupture had occurred.

Operative Treatment of Subcalcaneal Pain

The radiographic and histologic findings of this study suggest that changes within the fascia, rather than the spur, are primarily responsible for the pathogenesis of the syndrome.