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KMID : 0978920090100040391
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Korean Journal of Clinical Geriatrics
2009 Volume.10 No. 4 p.391 ~ p.396
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Plantar Fascia Injury Followed by Foot Massage in the Elderly
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Ahn Jae-Ki
Kim Chul
Park Yong-Bum
Moon Chang-Jin
Choi Hee-Eun
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Abstract
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Plantar fascia is the form of fascia that is spread out on the sole and absorbs the shock that is applied to the sole when walking or running. Plantar fasciitis is usually gradual in onset with few cases attributable
to a specific inciting event. A plantar fascia injury can however occur with direct trauma or forceful stretching of the plantar fascia in a specific incident. The authors have experienced one case of plantar fascia injury which occurred due to weight gain or repetitive trauma. A 57 year old female patient visited the hospital because of the continuous medial sole pain which occurred after she received foot massage with a stick. There was no specific family history about the particular pain and had no trauma or other diseases in the leg and foot. She received treatment for a month in a private clinic, but she did not see any improvements, so she visited our hospital. The patient did not feel painful when taking a first walk in the morning but she complaint of severe pain when walking. During the physical examination, she felt pain in front of the calcaneal bone. She also complaint of pain when she stretched the plantar fascia. Simple x-ray did not find any foot deformity or gross bony abnormality.
During muscular skeletal sonogram, at the front of right medial calceneus and a centimeter deep,edematous hypoechoic lesion and hypoechoic swelling plantar fascia that is about 1.5 cm was found and hypervascular lesion was found around the fascia during the power dopper scan. In the foot MRI, mild thickening with increased intrasubstance signal intensity of plantar fascia, perifascial edema and change in signal intensity of underlying flexor digitorum brevis muscle, mainly involvement of
proximal 1/3 of medial part of central segment of plantar fascia finding were discovered. Commonly, it is known that plantar fascia leision occurs due to non-traumatic repetitive overuse, but in this case, plantar fascia injury occurred after the patient received the popular foot massage.
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KEYWORD
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Plantar fascia, Injury, Foot massage
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