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What about this treatment?

Posted by Pauline on 5/28/04 at 12:58 (151489)

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About Other Emerging Modalities
Some have also suggested using attenuated botulism toxin (Botox) to help manage proximal plantar fasciitis. The concept is that inflexibility of the plantar intrinsic muscles is part of the etiology. When a calcaneal spur is present, it is usually located at the origin of the flexor digitorum brevis and the abductor hallucis. When Botox is utilized, the plantar heel, abductor hallucis and flexor hallucis brevis are the injection sites. The effect of the medication reportedly lasts approximately six months with a resulting increase in flexibility of the plantar musculature. The early results are very promising. Keep in mind that Botox is not widely available for this condition as many of the initial studies are currently in progress.

Re: What about this treatment?

Ed Davis, dPM on 5/29/04 at 23:31 (151579)

Pauline:
It is an interesting idea that has merit. Although one is really looking, in many cases to increase strength ot the plantar musculature. Generally speaking, fascia is a scaffolding for the suppport of muscles. The plantar fascia, while having an additional role still has that role for the plantar muscles. It was no accident that the Russians, experimenting with 'Russian stimulation' were able to cure PF by causing hypertrophy of the plantar musculature. My personal philosophy is that the plantar muscles, which run parallel to the fascia are attenuated via underuse, the type of use they can in modern 'man' and consider it a disease of modern society. One corollary is that runners used to often ask about the championship olympic runners from Kenya who raced barefoot. I am convinced that such individuals have very strong plantar musculature and that if we had a truly effective way of hypertrophying the plantar musculature we would have the ultimate cure.
Ed