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A comparative radiologic examination for unresponsive plantar fasciitis
Summary
This study presents a radiographic method to identify posterior calcaneus subluxation in plantar fasciitis cases. Chiropractic manipulation targeting the calcaneus resolved pain, improving foot alignment.
Area of Science:
- Podiatry
- Chiropractic Medicine
- Radiology
Background:
- Plantar fasciitis often presents with recalcitrant pain despite comprehensive podiatric treatment.
- Posterior calcaneus subluxation is a potential contributing factor in unresponsive cases.
Observation:
- A novel radiographic technique utilizing Kell's line was employed to assess calcaneus-fifth metatarsal alignment.
- Bilateral lateral foot radiographs compared the affected foot with the asymptomatic contralateral foot.
- Comparative post-treatment radiographs demonstrated improved calcaneus positioning.
Findings:
- Radiographic assessment identified posterior calcaneus subluxation in patients with unresponsive plantar fasciitis.
- Short lever chiropractic manipulative procedures directed at the posterior calcaneus resulted in complete pain resolution.
- The technique successfully guided the precise delivery of manipulative treatment.
Implications:
- Radiographic assessment is a valuable tool for diagnosing posterior calcaneus subluxation in plantar fasciitis.
- Targeted chiropractic manipulation of the calcaneus can effectively treat this condition.
- This method offers a new approach to managing refractory plantar fasciitis by addressing biomechanical alignment issues.