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REVIEW ARTICLE
Year : 2015  |  Volume : 7  |  Issue : 1  |  Page : 1-5

Chronic plantar fasciitis is mediated by local hemodynamics: Implications for emerging therapies


1 Miller Scientific Consulting, Inc., Asheville, North Carolina, USA
2 Department of Orthopaedic Surgery, University of Arizona, Tucson, Arizona, USA

Correspondence Address:
Larry E Miller
Miller Scientific Consulting, Inc., 1854 Hendersonville Road, # 231, Asheville, North Carolina - 28803
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1947-2714.150080

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Plantar fasciitis (PF) is a common, disabling condition affecting millions of patients each year. With early diagnosis and timely application of traditional nonsurgical treatments, symptoms generally resolve over time. However, despite adequate treatment, 20% of patients will experience persistent symptoms. In these patients, minimally invasive therapies that augment local hemodynamics to initiate a regenerative tissue-healing cascade have the greatest potential to resolve long-standing symptoms. We performed a narrative review based on a best evidence evaluation of manuscripts published in Medline-indexed journals to determine the mechanisms involved in soft tissue injury and healing. This evaluation also highlights emerging minimally invasive therapies that exploit these mechanisms in recalcitrant PF.


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