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Alternative diagnosis to plantar's fasciitis

Posted by Jen P on 1/21/03 at 06:10 (106111)

I have a 4 year old boy who has Cerebral Palsy. He has high tone in his legs and has had two courses of Botox injections to try and improve his motor skills. A few months ago he developed severe pains along the bottoms of both his feet which was originally diagnosed as plantars fasciitis and was hoped to improve following Botox. This has not proved to be the case and no diagnosis seems to be forthcoming. The pains run from his heel forward to the base of his toes. Does anyone have any ideas as to what could be causing these problems?

Re: Alternative diagnosis to plantar's fasciitis

Dr. Zuckerman on 1/21/03 at 10:54 (106131)

There are other tendons underneath the plantar fascia. The flexors control the bending movement of the toes. How about physical therapy.Where were the botox injections placed. This is a tough condition to treat. Any type of bracing attempted.? So it is probaby more then just pf

Re: Alternative diagnosis to plantar's fasciitis

Jen P on 1/21/03 at 12:18 (106144)

Hi, The reason they say it is not a tendon under the foot is because it is not always, although sometimes, painful upon palpation. As a result of this they opted not to brace his feet. The Botox was injected this time into his aductors, hamstrings, and calves. he does have physiotherapy daily for his CP and this is done around the Bobath philosophy. He wears orthotics daily in his shoes to assist with his feet, and has done so for the past 12 months.
Thank you so much for your swift response, any other ideas would be much appreciated.

Re: Alternative diagnosis to plantar's fasciitis

Dr. Zuckerman on 1/21/03 at 10:54 (106131)

There are other tendons underneath the plantar fascia. The flexors control the bending movement of the toes. How about physical therapy.Where were the botox injections placed. This is a tough condition to treat. Any type of bracing attempted.? So it is probaby more then just pf

Re: Alternative diagnosis to plantar's fasciitis

Jen P on 1/21/03 at 12:18 (106144)

Hi, The reason they say it is not a tendon under the foot is because it is not always, although sometimes, painful upon palpation. As a result of this they opted not to brace his feet. The Botox was injected this time into his aductors, hamstrings, and calves. he does have physiotherapy daily for his CP and this is done around the Bobath philosophy. He wears orthotics daily in his shoes to assist with his feet, and has done so for the past 12 months.
Thank you so much for your swift response, any other ideas would be much appreciated.