tag:blogger.com,1999:blog-673715911736059911.post6943488347146085524..comments2024-03-28T02:42:33.170-07:00Comments on Foot and Ankle Problems By Dr. Richard Blake: Plantar Fascial Tear: Possible Cause of Unresponsive Plantar Heel PainUnknownnoreply@blogger.comBlogger10125tag:blogger.com,1999:blog-673715911736059911.post-39911153089185851302018-07-29T03:48:03.599-07:002018-07-29T03:48:03.599-07:00You are too kind! :) Nice post....real full review...You are too kind! :) Nice post....real full review of <a href="https://www.springnexus.com/above-ground-pools/" rel="nofollow">intex 18 x 48 ultra frame pool</a>William J. Larsonhttps://www.blogger.com/profile/10699836994859396954noreply@blogger.comtag:blogger.com,1999:blog-673715911736059911.post-88495412425737493192012-05-09T01:38:30.980-07:002012-05-09T01:38:30.980-07:00i have a ruptured heel fat pad. will it heal? and...i have a ruptured heel fat pad. will it heal? and how long will it take?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-673715911736059911.post-18846269186009776182012-03-23T11:57:06.538-07:002012-03-23T11:57:06.538-07:00When the patient is in the acute stage from the pa...When the patient is in the acute stage from the pain of a fascia tear, is it advisable to use or avoid sleeping with a night splint?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-673715911736059911.post-51213808158885890292011-10-07T18:11:39.011-07:002011-10-07T18:11:39.011-07:00Lizzy, Thanks for the question. I will post on the...Lizzy, Thanks for the question. I will post on the blog tonight October 7th, 2011. Rich BlakeAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-673715911736059911.post-91343863875641080942011-10-06T21:25:02.406-07:002011-10-06T21:25:02.406-07:00very informative. gr8 job. i do have a question, ...very informative. gr8 job. i do have a question, however, if the only method of diagnosis available is x-ray, would this be enough to form a diagnosis? what other methods of diagnosis do u suggest or clinical measures to take?<br />lizzy, medical studentlizzyhttps://www.blogger.com/profile/03554018303631518269noreply@blogger.comtag:blogger.com,1999:blog-673715911736059911.post-61426605677731403862011-01-24T20:05:45.937-08:002011-01-24T20:05:45.937-08:00thank you very illustrative to methank you very illustrative to meGerardo Amiliviahttps://www.blogger.com/profile/11103752880565179932noreply@blogger.comtag:blogger.com,1999:blog-673715911736059911.post-58860027508064533092011-01-23T16:20:00.087-08:002011-01-23T16:20:00.087-08:00Dear Dr Amilivia, The goal of the cast is to avoid...Dear Dr Amilivia, The goal of the cast is to avoid toe bend which constantly pulls on the plantar fascia. And the cast has so much extra space that added padding to soften the heel if needed can be placed. This being said the goal of treatment for plantar fascial tears is 3 months of pain free existence. If that can be created, and guaranteed, in another type of shoe, like a stiff soled dress shoe, I say go for it. But the cast is complete immobilization and alot of people feel so much more secure and anxiety free. If the patient does very little walking during a work day, I am sure they could have a good chance that they could definitely go part of each work day without the boot. They have to be very honest, as soon as pain develops, put the cast/boot back on. I hope this helps. RichDr Richard Blakehttps://www.blogger.com/profile/14832893709341945125noreply@blogger.comtag:blogger.com,1999:blog-673715911736059911.post-24066485758246438422011-01-23T11:03:43.372-08:002011-01-23T11:03:43.372-08:00Thanks for the answers
One more question:
In the c...Thanks for the answers<br />One more question:<br />In the case of a patient who work in a company that requires formal dress, how do you juggling the use of the cast ?<br />Do you use it all day? (including job activities)<br /><br />best wishes<br /><br />Gerardo Amilivia from UruguayGerardo Amiliviahttps://www.blogger.com/profile/11103752880565179932noreply@blogger.comtag:blogger.com,1999:blog-673715911736059911.post-33669515564168001222011-01-13T21:54:32.305-08:002011-01-13T21:54:32.305-08:00Dear Dr Amilivia, Thank you for your kind words. T...Dear Dr Amilivia, Thank you for your kind words. They definitely help me. I have found the removable casts as shown in the blog to be just fine, however, within two weeks of casting and icing 3 times a day, the patient should be relatively assymptomatic (pain scale 1 to 2). If they still have significant symptoms, level 4 or more on the pain scale after 2 weeks, you should consider complete immobilization for a month, then back to the removable cast. Overall, the casting, to create a painfree environment is done for 3 months, although the 4th month can be a weaning out of the cast month. <br /> For this injury, I like the cast full time, unless sleeping, icing, showering. <br /> Yes, the cast is removed to do pain free only exercises. This is an explosion area in medicince (the restrengthening of injured body parts),which is started at the time of the injury almost, but must be painfree in the injured area. <br /> I do not have experience with ultrasound, but it sounds very useful in diagnosis. Probably depends on the skill of the technician. <br /> Thank you for your questions. It is good to have a friend in Uruguay. Rich BlakeDr Richard Blakehttps://www.blogger.com/profile/14832893709341945125noreply@blogger.comtag:blogger.com,1999:blog-673715911736059911.post-91084231910095178862011-01-12T04:50:37.815-08:002011-01-12T04:50:37.815-08:00Hello...
I have a question...
Which kind of cast d...Hello...<br />I have a question...<br />Which kind of cast do you use?<br />How many hours a day do you indicate it?<br />Do you remove it to make therapeutic exercises?<br />How many time do you indicate the cast?<br />In your opinion : Can we you ultrasound as a diagnostic tool? Has it good yield?<br /><br />Thanks,<br /><br />Gerardo Amilivia, MD im PM&R from Uruguay (south america)<br /><br /><br />Great effort from you to make this interesting and excellent blog...Go ahead!Gerardo Amiliviahttps://www.blogger.com/profile/11103752880565179932noreply@blogger.com