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Plantar fasciitis: a degenerative process (fasciosis) without inflammation

PainSci » bibliography » Lemont et al 2003
Tags: plantar fasciitis, etiology, biology, tendinosis, foot, leg, limbs, pain problems, overuse injury, injury, pro

One page on PainSci cites Lemont 2003: Complete Guide to Plantar Fasciitis

PainSci commentary on Lemont 2003: ?This page is one of thousands in the bibliography. It is not a general article: it is focused on a single scientific paper, and it may provide only just enough context for the summary to make sense. Links to other papers and more general information are provided wherever possible.

Researchers examined patients undergoing heel spur surgery for plantar fasciitis, and found that their cases were not inflammatory in nature, but well over half of them had clear signs of “degenerative fasciosis without inflammation.”

~ Paul Ingraham

original abstract Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.

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 should be reevaluated in the absence of inflammation and in light of their potential to induce plantar fascial rupture.

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