Case Presentations in Podiatric Medicine & Surgery

Plantar Fascial Rupture: A case report

with 19 comments

This article is now at the Foot and Ankle Online Journal

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April 9, 2007 at 6:00 pm

19 Responses

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  1. I am that “healthy 60-year old male” with the ruptured plantar fascia in the April, 2007, issue. Dr. Kline has been great and prescribed physical therapy for me. I recently returned for a follow-up with Dr. Kline, who prescribed about four more weeks of therapy and has assured me that I will–after a time–be able to return to my softball “career”. Thanks again, Dr. Kline–and thanks to Peninsula Physical Therapy, whose therapists, Andy and Steve, have helped me get better.

    T. Chandler

    May 25, 2007 at 8:28 pm

  2. My wife (49) just had a similar injury. She has not been given a cast, but is on crutches, and has been told to put no weight on it for 10-12 weeks.

    We have lots of questions. How severe was your rupture? (Her MRI shows a complete rupture of the “medial bundle”, but not of the “lateral bundle”). What are the benefits of a cast? Were you able to put weight on it after just 4 weeks? Are you now able to walk normally? Was surgery ever discussed?

    If you found any other useful resources on this, any suggestions would be very much appreciated.

    Thanks,

    Phil

    Philip Rafals

    October 15, 2007 at 9:26 am

  3. T Chandler- How are you doing now? How long has your recovery been up to this point? At what point were you able to walk and go about your normal daily activities without pain? Do you have any relapses of pain? I wish you continued recovery and a successful softball “career” !

    Linn

    March 6, 2008 at 10:21 am

  4. Hi, I’m a 41 year old woman, I injuried myself at work in Nov. 2007. I have had two MRI’s and just last week finally been told of Plantar Faciitis and damage to my achille tendon and the nerves. I had a crush twist injury. I have been in contant pain for 6 months and feel I’m losing it. I recently changed Dr.’s. The first ortho has done nothing for me. PT has been since mid Nov with no progress. I just found out that they shouldn’t have been doing strengthening exercise. How long does it take for the pain to go away??? I am on a pain patch that I put on my foot and it only helps the nerve pain. Please let me hear from someone that maybe has had this. Dr just says it takes time. After six months I need a better answer. Thanks

    Cindy

    April 10, 2008 at 12:54 pm

  5. Hi I have a complete tear of the Plantar Facia on the medial band the tear happend after reciving a ultrasound guided cortsone shot and fallowed up by cortisone adminsterd with a stim device. I returned to work for a day and a half and was in agony so i went back to the doctor, he seems to think the pain will just go away and that it is all fine. I work on my feet on hard surfaces that are full of obsticles and climb ladders etc. we work 12 -14 hours a day. I feel that if i am in this much pain it is not healed How long should this injury take to heel I am a 40 year old man

    andrew

    May 15, 2008 at 5:23 pm

  6. I’m a 37 year old female. I was sprinting down the soccer field last week (Tuesday)and had 3 quick ‘pops’ then that pain that feels like you are standing on burning hot steak knives. I went to Urgent Care the next day and was told that I may have ruptured my plantar fascia (x-rays confirmed no broken bones) referred to podiatry. They put me in a walking boot and on crutches – no weight bearing for 3 weeks. Podiatry saw me on Friday and said they suspected a ruptured plantar fascia (bruising in the arch of my foot, a bump in the bottom of my foot, EXTREMELY tender, swelling on the inner side of my heel). They didn’t schedule an MRI but told me to continue wearing the boot 24 hours a day (except for showering) to keep my foot flexed so that it would heal in the right position. I go back in 3 weeks for follow up to check how it is doing and go from there based on how it is healing.

    I saw one article that said 1-3 weeks no weight and then another 7 – 10 weeks with increased weight on the injury until you can walk normally. For a grand total of 8 – 13 weeks before starting to return to activity. I know my calves are notoriously tight and that most likely contributed – I also have a 9 month old baby and imagine that the same hormones that relaxed my ligaments for that caused my feet to shift a little too which may have contributed to the injury as well…

    Dee

    May 19, 2008 at 5:38 pm

  7. [...] and rearfoot valgus will often lead to increased tension and strain of the plantar aponeurosis.http://podiatry.wordpress.com/2007/04/09/plantar-fascial-rupture-a-case-report/Read “Re: My Ottens Theory” at Geelong – Total Footy Forum…taken off in the pre-season, therefore [...]

    plantar facia strain

    July 25, 2008 at 1:15 am

  8. I am a 43 year old female tennis player. I have suffered with plantar fascitis since March. Despite orthotics, nsaids, ice, and rest, I still had pain when I started back playing singles in August. So, I went for a steroid injection, 5 days later, while playing tennis, I heard a pop and felt a release in my foot.I have a partial rupture of the medial portion of the plantar fascia. 6-12 weeks in the boot, followed by PT. I can use the weight machines and swim without using my feet. Both Doctors say, I will make a full recovery and should not have the pain any longer. I hope so! This is torture.

    Debbie

    September 27, 2008 at 6:37 pm

  9. I’m an 18 year old rugby player with no history of plantar fascitis but I still managed to tear my plantar fascia. During a drill I was driving a ruck sled and felt a pop and a release in my foot. I thought I had simply busted a cleat but after practice I noticed brusing so I went to the ER. The ER doc diagnosed me with a strained plantar fascia. The next day I went to see an orthopedic and after looking at my x-rays, he diagnosed me with a broken navicular bone. Then the next day I went to get an MRI that showed my navicular bone wasn’t broken, but that I actually had an extra bone in that area. However I do have some tearing in my plantar fascia. Like Debbie, I’m in a boot for 6-12 weeks and have physical therapy to look forward to. I just think it’s unusual that it happened to me at such a young age.

    Cory

    September 29, 2008 at 4:36 pm

  10. I am a 45 year old triathlete. I decided to get together with some friends and play basketball. Ive heard the pop and felt the burn and knew it wasnt good. I was looking on line to make sure the Dr’s laugh when I said, “am I going to down for a couple of weeks?” was not an indication of a long healing process. Anyone had any luck staying active with this darn boot on.

    john

    October 31, 2008 at 8:46 am

    • I am a 42 year female athlete. A year ago I had my ankle reconstructed- due to a congential defect (cavo varus feet and ankles) resulting in an ankle fracture while cross country skiing. Surgery went very well, and after significant PT returned to normal activity- including basketball. Recently, while walking the ball up the court, I heard teh classic pop, then warmth in my OTHER foot….saw my orthopedist, who dx a partial plantar fasciitis rupture. So am BACK in that boot on the other foot… Likely a number of factors including high arch, chronic poor mechanics caused by favoring the other foot are contributing- to answer your question- I have been able to ride a recumbent stationay bike with my good foot and a crutch (up side down)on the other pedal….sounds pathetic I know, but it is something.

      Annie

      August 6, 2009 at 6:41 pm

  11. hey guys..i ruptered my plantar fascia in May 08..i was in agony but was released from a&e with a bruised foot…i followed up on my own and after MRI scan turns out there was a rupture..ive been off work for 6months and am still in pain with it..any suggestions..i was given no cast or boot..was just told id have to bide my time…would a boot be any use at this stage?

    Tony

    November 18, 2008 at 7:45 pm

  12. I had surgery September 19, 08 for a ruptured planters fascia. I had suffered for 16 months (during treatment) with the planters fascia pain. It has been 2 months since my surgery and it feels better, but because of an outstanding bill of $193.17, Foot and Ankle Associates of North Texas-Grapevine,TEXAS, refuses to see me until the bill is paid in full. I offered to pay partial payments until I can pay the bill in December, but Penny Wharton(office manager)said they don’t accept partial payments. On my last visit October 13th, I was told to start bearing weight and now I can, I can also wear regular shoes, but don’t know if I can ever go barefoot again. I was advised to use Crocs with my inserts instead of barefoot. Since I’m not able to see my doctor I don’t know what is dangerous and what is helpful for my post surgery debacle.
    Any suggestions from experienced patients would be greatly appreciated.

    missy

    November 23, 2008 at 3:59 pm

  13. I would have liked to have heard more about your surgery. I’m not sure what your bill has to do with anything useful to anyone but you though (to vent). You really should be careful about what you say in a public forums (using real names and places) you could get into alot of trouble for it. What did the surgery involve? Was it same day surgery? Small incisions? More info on the procedure would be greatly appreciated.

    geena

    November 27, 2008 at 9:27 pm

    • Actually, as long as she can document what she is saying about the office staff, she can say whatever she wants. Not the choice I would have made but she has the right none the less.

      gail

      June 30, 2009 at 7:56 pm

  14. In April 2006 I experienced a compression injury of my foot. After a year of going dr to dr. I found I had torn a tendon in my foot (not repairable). I was in two subsequent casts. I still suffer from foot pain. I have been told my a couple of PT and ortho doctors that I have non-typical plantar fascitis. I have had two pairs of custom orthodics made and cannot tolerate. I constantly ice my foot. Any ideas anyone?

    Sandy

    December 2, 2008 at 11:17 pm

  15. Hi I m a 30 year old female who has had a ruptured plantar fascia since June of 2008. I was wrongly diagnoised at first by a local A&E department and it was 2 weeks until I received the proper diagnosis. I spent 9 weeks in plaster cast and since then have been in an aircast boot. Care and treatment for this condition has been very inconsistent. The specialist suggested that this rupture occured because I had previously received a cortisone injection in the heel 6 month before it happened, and in his professional opinion I should never be given another one. I have now been given another injection because he insisted that this was the only option that was available to treat this condition irrespective of what he had said before. I am still attending physio every week and having my foot strapped up for added support. As a result I have now been diagnosed with plantar fascitis in the Left foot because I have been over – componsating for so long. I have had 2 pairs of orthotics made and I cannot tolerate them at all. I have an orthopaedic appontment with a surgeon next month to see if he can offer and further alternatives to ease my pain. I also suffer from SLE(Lupus) which has been suggested may also be a contributing factor to my condition. I would appreciate any comments about this Thanks

    Dawn

    June 22, 2009 at 7:34 am

  16. I went to the Podiatrist 2 years ago with a complaint of a sore ball of the foot. He x-rayed my foot and said that I had hammer toe and plantar fasciatis and a bone spur. I explained that I was going to Europe and would be walking a lot so he gave me two cortizone shots, one in between my toes and one in my heel.

    My heel was not hurting at the time. We went to Europe and walked for two days and my heel was killing me. I continued to walk ( I was in London and Greece) and by the time I came back I could hardly walk.

    For two years I have gone to three podiatrists. One taped my foot and that helped. All tried to give me othodics and I could not tolerate them. I have used a stretcher which helped. A night splint which helped.

    Finally I went to am Orthopedic surgeon who did a MRI and found that I had a rutured fascia. One strand completely ruptured, one strand torn and one strand in place.

    He has suggested that I try electrical shock therapy. I have not tried that yet. He also said that the cortizone shot softened the fascia and that is what caused the tearing,

    My lesson learned is to not have cortizone shots unless you mobilize the foot. Do not do a lot of walking after a shot.

    I can walk about 2 blocks without it hurting, The morning pain is releived with the night splint, but I have been told that there is not cure and I have to live with it.

    Anyone that has information about if the fascia can repair itself would be appreciated.

    Thanks, Sharon

    My foot continued to improve but walking more

    sharon

    September 2, 2009 at 10:51 pm

    • I tore my plantars facia during a run in August. I iced and stayed off it for a month before finally seeing a podiatrist and getting diagnosed. Steroid treatment and anti inflammatories helped, but this weekend I did alot of standing and now my foot throbs just sitting at my desk. I use the night splint and have slowly been able to walk short distances. But I wonder when will this thing ever heal (no pun intended). This seems crazy there isn’t an effective treatment so I can run again!

      susan

      November 9, 2009 at 11:46 am


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