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plantar fasciitis following an auto accident

Posted by Lori on 11/11/04 at 13:14 (163569)

I am a nurse with a patient who states she never had a problem with plantar fasciitis until she was in an auto accident a few years ago. She evidently braced her feet on the brake. She had immediate onset of pain. EMG normal, normal neurological examination, but left foot dysesthesias cont. Foot & ankle, mainly on left,intermittent burning pain, pins & needles. Gross motor function is within normal limits. Plantar fascia stretch negative. She points to her pain as being on the plantar aspect just distal to the insertion of the plantar fascia on the calcaneous, per records. X-rays and bone scan were most consistent with degenerative changes in the feet with no obvious evidence of stress fracture. Left hallux valgus was noted on the films. MRI shows intact plantar fascia, no focal signal abnormality, mild degenerative changes within the mid foot. A couple of questions: can plantar fasciitis be a result from the auto accident? Can it worsen again after improvement? What is the best treatment (she has had cortisone injections, orthotics, PT, massage, NSAID)? How long does it take to heal? In your opinion, from the information given, do the symptoms represent plantar fasciitis or something else? Thank you very much.