Language Assistance Available:
Distal traction may be applied to the great toe to open the joint space. The needle is inserted on the dorsomedial or dorsolateral surface ( Figure 6 ) . The needle should be angled 60 to 70 degrees to the plane of the foot and pointed distally to match the slope of the joint. The joint space is not deep below the skin surface. The physician should aspirate before injecting; the injectable agent should flow without major resistance when the needle is positioned properly in the joint space. Follow-up care is the same as that previously described.
You’ve probably come to the realization that a lot more goes into the diagnosis and treatment of plantar fasciosis than you once thought. Blanket, one size fits all recommendations usually don’t work well for this condition. Please find a medical or allied health provider (medical doctor, osteopath, chiropractor, podiatrist, physical therapist, athletic trainer, body worker, etc.) that understands these concepts. Time spent in evaluation saves time in treatment. If you don’t have a medical or allied health provider, we’d be happy to help. We treat difficult cases of plantar fasciosis with our comprehensive, conservative care methods. Please call 708-532-CFIM (2346) and ask for either Dr. Dino or Dr. Marie at The Center for Integrated Medicine for more information.