ANALYSIS OF CLINICAL PRESENTATION AND INVESTIGATIVE FINDINGS IN PLANTAR FASCIITIS IN TERITIARY CARE HOSPITAL.

Author:

Kattoju Ajai Ramcharan1,akeel Arshad2,Shankar Navaladi3,Sudhakar K.4

Affiliation:

1. Junior doctor - Resident, Apollo hospitals ARI , Chennai.600006

2. MD,FRCP,FICA,FRCP(I), senior consultant department of internal medicine Apollo hospitals

3. MB, DNB, Sr.consultant Department of Orthopedics, fellow spine and joint surgeon, Apollo hospitals.

4. DMRD, DNB, fellow musculosketal Radiology, senior consultant Radiologist, Apollo hospitals.

Abstract

Plantar fasciitis is common condition causing severe plantar pain, and the its rst classical striking symptoms and signs are severe plantar pain tenderness of the rst few steps after awakening and causing gait difculty. The early clinical, sonography and laboratory diagnosis conrmation parameters will denitely help in preventing complex plantar fasciitis and its chronicity leading to degeneration, fasciosis and sequalae. The key nding in sonovascular imaging incudes measurement of plantar fascia thickness, echogenicity vascularity and reactive uid. plantar fascial thichkness in mean normal is 0.25 cm and mean abnormal is 0.6 cm suggesting thickness. Above 0.25 cm with associated clinical ndings is signicant and the planning of treatment depends on stage of disease proving the early diagnosis has denite important role in prognosis and follow-up . Aim: To detect and diagnose and establish the Plantar fasciitis. Objectives: Primary objective: Early detection of plantar fasciitis for early intervention in management and preventing the chronicity and its sequelae. Secondary objective: Utilising the signs and symptoms and conrming with sonography, vascular doppler imaging and laboratory data about plantar fasciitis. Site of the study: Department of internal medicine, Department of Radiology and Department of orthopaedics, Apollo Hospitals, Greams road, Chennai-600006. Study period: March 2021 to March 2022 Inclusion criteria: Patients with early morning plantar pain and-clinically suspicious plantar facial minor repitative injury with and with out history of co morbidities. Exclusion criteria: fractures, ischaemic changes, infective abscess.

Publisher

World Wide Journals

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