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May 26 10 tweets 3 min read Twitter logo Read on Twitter
Just published 🔥

Myofascial stiffness of plantar fascia and Achilles tendon in individuals with plantar fasciopathy (PF): An observational cross-sectional study🦶

mskscienceandpractice.com/article/S2468-…

illustration: pubmed.ncbi.nlm.nih.gov/15152061/ Image
Rabelo et al. investigated the the myofascial stiffness of plantar fascia, Achilles tendon in 39 individuals diagnosed with PF and individuals with no history of PF.
Their results showed that individuals with unilateral PF showed reduced myofascial stiffness depending on the portions and anatomical comparators. While for the Achilles tendon the PF group showed reduced stiffness compared to the control group, ...
...for the plantar fascia the symptomatic limb of the PF group showed reduced stiffness compared to the asymptomatic limb (7% lower stiffness).
Previous studies using elastography reported magnitude of differences ranging from 38 to 74% lower stiffness in individual with PF compared to controls. ncbi.nlm.nih.gov/pmc/articles/P…; pubmed.ncbi.nlm.nih.gov/36662404/
It is possible, that patients may tend to avoid mechanical loading of the respective leg during everyday activities as a pain associated avoidance behaviour.
Since repeated maximal loading has been shown as an important long-term regulator of tendon stiffness, pubmed.ncbi.nlm.nih.gov/34382838/
It is possible that affected patients may practice less high impact loading (such as in jumping or in rapid deceleration when changing directions) during previous months, as also evidenced by the lower performance in the clinical tests.
This may not only lead to a relative loss of muscle strength in some lower leg or foot muscles, but also to a lower tendon stiffness.
So sorry…nothing to release !!!! 🙄😅

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More from @PhysioMeScience

Jan 12
Just published in “Neurospine” 🔥

Diagnostic Accuracy of Standard Dermatomes and Myotomes for Determining the Pathologic Level in Surgically Verified Patients With Cervical Radiculopathy!
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...such as magnetic resonance imaging (MRI), matches the clinically expected level. pubmed.ncbi.nlm.nih.gov/27114762/, pubmed.ncbi.nlm.nih.gov/23024624/, pubmed.ncbi.nlm.nih.gov/28838857/, pubmed.ncbi.nlm.nih.gov/33401849/
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Dec 7, 2022
Pain referred from cervical and lumbar facet joint provocation 💉

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This is a composite map of lumbar facet joint pain referral locations from multiple studies. (s. below 📙)The lumbar and low lumbar/gluteal regions are the most common locations of pain. Although not depicted here, referral of pain distal to the knee can also occur, but is rare.
📙
Fukui, S. et al. Distribution of referred pain from the lumbar zygapophyseal joints and dorsal rami. Clin. J. Pain 13, 303–307 (1997).
Marks, R. Distribution of pain provoked from lumbar facet joints and related structures during diagnostic spinal infiltration. Pain 39, 37–40
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Course of the sciatic nerve and potential sites of affection leading to sciatica as illustrated by Ropper & Zafonte

pubmed.ncbi.nlm.nih.gov/25806916/ Image
But important to know:

👉85% of cases of sciatica are associated with a disk disorder. pubmed.ncbi.nlm.nih.gov/12015843/
👉 The term ‘deep gluteal syndrome’ instead of ‘piriformis syndrome’ is now preferred to describe a non-discogenic sciatic nerve disorder with entrapment in the deep gluteal space. ncbi.nlm.nih.gov/pmc/articles/P…, pubmed.ncbi.nlm.nih.gov/32349600/, pubmed.ncbi.nlm.nih.gov/32246173/.
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Sep 5, 2022
Just published 🔥🔥

Relationship between herniated intervertebral disc fragment weight and pain in lumbar microdiscectomy patients

pubmed.ncbi.nlm.nih.gov/35738184 Image
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👉 The severity of preoperative symptoms, similarly, were not affected by disc fragment size or weight.
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Feb 10, 2021
Irgendwann ist auch mal gut...
Ein Disaster, was da Patienten erzählt wird.
Und eine Disaster, dass das wohl auch viele unserer Kollegen glauben.

DER PHYSIO MEETS SCIENCE-FAKTENCHECK ZU LIEBSCHER & BRACHT (LUB) 2021!
👀👀👇👇💩💩
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Jan 17, 2021
Load and intervertebral discs:
Friend or foe?

👀👀👇👇
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