Michael and other list members:
When reporting the prevalence or incidence of a injury in a
population, just remember that the most common reason for a
difference is the manner in which it is reported. The most common
reason for a jump in the incidence/prevalence is a change in the
way it is reported.
Murray
This is a multi-part message in MIME format.
For those interested in plantar fasciitis taping techniques, see the link below for a visual step-by-step guide.
http://www.nismat.org/traincor/pl_fasciitis.html
Regards
Michael
----- Original Message -----
From: Michael Warburton
To: [log in to unmask]
Sent: Friday, March 17, 2000 9:20 PM
Subject: Re: taping for plantar fasciitis
Dear all,
... and another angle on the plantar fasciitis debate!
Lets not forget that there is a low incidence of plantar fasciitis in barefoot populations. This is considered to be the result of ground impact forces being transferred (or shared) to the yielding musculature of the foot thus sparing the unyielding dense plantar fascia from the full burden and excessive strain at its attachment. Sounds plausible, however not always practical to institute a barefoot diet on our PF clients, especially if painful and acute. However it is worth considering greater barefoot encouragement in general for the array of physical, psychological and financial benefits it can give. Choose surfaces carefully though and be aware of safety considerations: ie. foreign objects and climatic extremes (i've seen experienced and adapted bare feet blister after only a few minutes standing on artificial surfaces here in Queensland!).
Regards,
Michael.
----- Original Message -----
From: ashlini and daryl
To: [log in to unmask]
Sent: Friday, March 17, 2000 1:18 PM
Subject: Re: taping for plantar fasciitis
Douglas White, wrote:
>>Interesting discussion we have going here folks. Some thoughts.
I had not heard of posting on the lateral side of the foot to increase plantar
flexion (PF). Seems counterintuitive. Most of the patients I see w/ plantar
fascitis have pes planus (dropped medial long. arch, excessive pronation in
weight bearing and during the gait cycle.) It would seem that putting those
patients into further plantar flexion would result in greater abnormal
mechanics. >>
The posting on the lateral side of the foot(at the forefoot) is suggested to pronate(evert) the MTJ, not the STJ. So in the patients that you are seeing with 'pes planus' it most logical that their forefoot would be supinated(inverted) by ground reactive forces, caused by excessive pronation. The taping procedure with pes planus is designed to prevent excessive pronation(like a varus rearfoot wedge) by applying a supinatory moment across the STJ axis. The additional forefoot valgus wedge is to pronate the MTJ(not STJ).Therefore the foot is functioning as a more stable unit. Simply adding a forefoot valgus wedge to the foot without applying a supinatory rearfoot moment across the STJ axis(via tape) would most likely create further abnormality in mechanics.
Cheers
Daryl
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