A comparative radiologic examination for unresponsive plantar fasciitis.
OBJECTIVE
To report a method of radiographically assessing the presence of the posterior calcaneus subluxation involved in cases of unresponsive plantar fasciitis. Complete resolution of pain occurred following short lever manipulative procedures directed at the calcaneus.


METHODS
Two cases of plantar fasciitis which previously had received comprehensive podiatric treatment were referred for chiropractic assessment. Bilateral radiographs of the lateral feet were compared. The relative position of the calcaneus in relationship to the proximal head of the 5th metatarsal were compared with the less affected or asymptomatic foot. A comparative postview of the plantar fascial foot was then taken at the conclusion of treatment. Kell's line assists the clinician in measuring and comparing the calcaneus/5th metatarsal distances.


METHODS
Short lever (chiropractic) manipulative procedures were directed at the posteriorward calcaneus.


CONCLUSIONS
Radiographic assessment for unresponsive plantar fasciitis assists in determining where the site of short lever manipulation be delivered in order to improve calcaneus position and release sagittal stress on the plantar fascia.
Kell
P M
PM
D000328:Adult; D000843:Ankle Joint; D002111:Calcaneus; D002684:Chiropractic / Q000379:methods; D002908:Chronic Disease; D005208:Fasciitis / Q000209:etiology*; D005260:Female; D005534:Foot Diseases / Q000209:etiology*; D005684:Gait; D006801:Humans; D004204:Joint Dislocations / Q000150:complications* / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D011032:Podiatry; D011859:Radiography; D016059:Range of Motion, Articular; D012017:Referral and Consultation