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Journal of the American Podiatric Medical Association
Volume 93 Number 3 234-237 2003
Copyright © 2003 American Podiatric Medical Association

Plantar Fasciitis

A Degenerative Process (Fasciosis) Without Inflammation

Harvey Lemont, DPM*, Krista M. Ammirati, BS* and Nsima Usen, MPH*

* Temple University School of Podiatric Medicine, Philadelphia, PA.

Corresponding author: Harvey Lemont, DPM, Temple University School of Podiatric Medicine, Eighth at Race St, Philadelphia, PA 19107.

Abstract

The authors review histologic findings from 50 cases of heel spur surgery for chronic plantar fasciitis. Findings include myxoid degeneration with fragmentation and degeneration of the plantar fascia and bone marrow vascular ectasia. Histologic findings are presented to support the thesis that "plantar fasciitis" is a degenerative fasciosis without inflammation, not a fasciitis. These findings suggest that treatment regimens such as serial corticosteroid injections into the plantar fascia should be reevaluated in the absence of inflammation and in light of their potential to induce plantar fascial rupture. (J Am Podiatr Med Assoc 93(3): 234-237, 2003)




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