When to consider plantaris in your diagnosis and how it changes Mx…
Mini 🧵
Summary from resources 👇🏼👇🏼
🏃🏽♂️@tomgoom
running-physio.com/plantaris/
🦶🏼@Seth0Neill & @davidphysioedge
spoti.fi/3ndFMUj
📖 @BJSM_BMJ via @function2fitnes
bjsm.bmj.com/content/51/10/…
1/4
Mini 🧵
Summary from resources 👇🏼👇🏼
🏃🏽♂️@tomgoom
running-physio.com/plantaris/
🦶🏼@Seth0Neill & @davidphysioedge
spoti.fi/3ndFMUj
📖 @BJSM_BMJ via @function2fitnes
bjsm.bmj.com/content/51/10/…
1/4
Clinical presentation:
🔹Pain medial mid-portion AT
🔹Worse with DF e.g. uphill running
🔹Worse with pronation
(⬆️ forces on medial AT)
🔹Poor response to rehab
(3/12 progressive loading)
2/4
🔹Pain medial mid-portion AT
🔹Worse with DF e.g. uphill running
🔹Worse with pronation
(⬆️ forces on medial AT)
🔹Poor response to rehab
(3/12 progressive loading)
2/4
Further info:
🔺Mechanism of pain/injury may be compressional force of plantaris against AT tendon
🔺Plantaris is possibly less likely to be acutely injured as it’s stiffer than AT
🔺Scan options: UTC/US/?MRI
Image from:
sciencedirect.com/science/articl…
3/4
🔺Mechanism of pain/injury may be compressional force of plantaris against AT tendon
🔺Plantaris is possibly less likely to be acutely injured as it’s stiffer than AT
🔺Scan options: UTC/US/?MRI
Image from:
sciencedirect.com/science/articl…
3/4
Mx:
Treat as insertional tendinopathy:
🔸Heel lifts in shoes 6-12mm
🔸Avoid loaded DF (eg eccentric drops off step) unless we’ll tolerated
🔸Progress load>ROM first
If rehab not progressing:
💉Consider CSI around area
🔪Surgery to remove plantaris:
⁃ 94% return to sport!
4/4
Treat as insertional tendinopathy:
🔸Heel lifts in shoes 6-12mm
🔸Avoid loaded DF (eg eccentric drops off step) unless we’ll tolerated
🔸Progress load>ROM first
If rehab not progressing:
💉Consider CSI around area
🔪Surgery to remove plantaris:
⁃ 94% return to sport!
4/4
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