DOI: 11/25/2014. Patient is a 47 year old male laborer who sustained injury to his left side of body, back, shoulder, and ankle while he was walking/smoothing tar when he was hit by double bottom truck while working at job site. Per OMNI, he sustained strain to lower back, left shoulder, and left ankle.
Based on the progress report dated 01/13/16, the patient presents for reevaluation of painful plantar fasciitis of the left foot. The patient states that the pain is approximately 7/10 when it is cold outside. He states it hurts on the bottom of the foot and goes back to the Achilles tendon. The patient states that he has just finished his physical therapy, which helped slightly, but still having considerable pain.
On examination, he has pain
Assessments are 1st metatarsophalangeal left foot joint sprain, plantar fasciitis, left greater than the right and symptomatic lipoma of the left
DOI: 09/18/2012. Patient is a 59-year-old male truck driver who sustained injury to his head, left eye, ribs, lungs, shoulder, and back when he lost balance and fell while he was removing tarp at an ecology sample area. Per OMNI entry, he was initially diagnosed with punctured lung and 2 fracture of the lumbar discs. Patient is status pots L4-5 discectomy on 02/27/16 and L4-5 posterior pedicle screw fixation on 06/26/13. Per Ortho AME Dr. Ovadia, IW‘s shoulder is not P & S. Neuro AME Dr. Wang opined that the IW has 10% whole person impairment rating on 09/22/16.
Based on the progress report dated 05/17/16, the patient presents for reevaluation of her right knee pain. It has been about the same though she states that when she gets acupuncture, it does decrease pain for a period of time and allow her to exercise more. She has been walking 45 to 50 minutes twice a day. She uses
DOI: 12/23/2013. The patient is a 64-year-old male foreman who sustained injury when he was involved in a motor vehicular accident. Per OMNI, he has had multiple injuries to the right shoulder, right knee, back and right arm/elbow. He is status post arthroscopic surgery for the right shoulder on 05/30/2014.
Based on the latest medical report dated 03/08/16 by Dr. Tenuta, the patient presents for his right knee pain. He was seen for back pain approximately a year ago. He has had persistent issues with that. He feels that he has been favoring his knees. He has been having problems going up and down steps. On examination, he has crepitus with patellofemoral range of motion. As of this
DOI: 3/12/2013. Patient is a 57-year-old male service technician who sustained injury when he slipped and fell in mud while delivering a propane gas. Per OMNI, he is status post right knee surgery on 05/12/14.
The patient has difficulties ambulating stairs. Her pain is waking her up at night. She failed to improve with the plethora of conservative treatment entailing physical and acupuncture therapies, activity modifications, home-type exercise, injections, medications. On physical examination, the patient is utterly uncomfortable. She ambulates with antalgic gait. Well healed incisions are noted on the left knee. Patellar crepitus noted on the flexion and extension of the right knee with medial and lateral joint line tenderness more so in the medial side. McMurray's test is positive medially. Patellar crepitus is noted together with pain in patellar compression. Patient’s Voltaren gel was refilled. Patient was recommended to undergo right knee arthroscopy with partial meniscectomy and lateral patellar release surgery. She failed to improve with above mentioned conservative treatment. Any further conservative treatment will be of no benefit. Patient was also recommended 12 PT sessions for the right knee
Background: A meta-analysis indicates that the use of foot orthoses seems to be associated with improving foot disability and pain related to chronic plantar fasciitis. Preliminary evidence suggests that plantar fascia thickness greater than 4mm appears associated with foot disability in individuals with chronic plantar fasciitis. However, it seems contradictory that adding more plantar thickness, via foot orthosis or taping, to the already thickened plantar fascia, may be responsible for improved pain and disability. An alternative explanation could be that wearing foot orthosis may augment the
Generally, a physician will take a patient's history and will conduct a physical examination to determine if plantar fasciitis is the cause of heel pain. The doctor may recommend splints that are worn at night and/or physical therapy to stretch the plantar fascia or strengthen surrounding muscles. The physician may also recommend orthotics, which are custom fitted supports that help distribute pressure more evenly. If these conservative measures don't alleviate the pain, the doctor may recommend steroid shots. Chronic sufferers of plantar fasciitis may be required to undergo extracorporeal shock wave therapy or even surgery to detach the fascia from the bone, but these treatments aren't standard for most people suffering from plantar fasciitis.
Factors that may increase your risk of developing plantar fasciitis include: age; Plantar Fasciitis is most common in people between the ages of 40 and 60. Weight; obese people have increased stress on the plantar fascia due to the excess pounds they are carrying around. Abnormal foot mechanics or anatomy can cause Plantar Fasciitis. A person that is flat-footed or has a high arch, one who has an abnormal pattern of walking can adversely affect the way weight is distributed, thus adding stress to the plantar fascia. Also people with tighter calf muscles are unable to flex their foot appropriately (decreased dorsiflexion). Occupations; people who work on their feet for long periods of time on hard surfaces are at higher risk, again due to the
This is a disorder which leads to pain in the heel as well as foot’s bottom. The pain is normally very severe with the initial steps of a day or after periods of rest. Pain frequently comes back if the foot is bending and toes are raised upwards. Conditions may turn worse by tight Achilles tendon. These conditions occur slowly, which is a regular thing. In some rare cases, both of the legs get affected. Here there is no chance of fever as well as night sweats.
Plantar fasciitis pain is usually worse when you first get up in the morning. Once your feet limber up and as long as you keep moving during the day, the pain should decrease. If you sit or stand in one position for a long time, the pain returns. Being in bed for several hours without stretching your feet can lead to intense pain that makes it difficult to walk when you first get out of bed. One solution for this is to wear splints at night that keep your fascia and tendons in a stretched position. Your podiatrist can provide you with the splints and show you how to use them correctly.
Plantar fasciitis has numerous symptoms that it can cause, but most of the time the primary symptom is pain and many of the other symptoms stem that. If you have plantar fasciitis then more often than not the first thing that you become aware of when you wake up is the pain in your heels and feet. You also might notice that your feet feel stiff and less flexible than normal, this can be another common symptom of this condition. Plantar fasciitis can cause everyday tasks such as climbing stairs or standing on your toes to cause discomfort and be very painful. Living with pain in your heels and along the bottoms of your feet that increases in intensity as the day goes by is another telltale sign of plantar fasciitis.
Plantar fasciitis is a painful foot condition that affects the heel. It occurs when the band of tissue that connects the toes to the heel bone (plantar fascia) becomes irritated. This can happen after exercising too much or doing other repetitive activities (overuse injury). The pain from plantar fasciitis can range from mild irritation to severe pain that makes it difficult for you to walk or move. The pain is usually worse in the morning or after you have been sitting or lying down for a while.
2. Plantar Fasciitis - the tissue which connects the heel to the ball of the foot is inflamed. Mostly, it is the result of wearing shoes that do not fit properly.