Journal
FOOT AND ANKLE CLINICS
Volume 19, Issue 4, Pages 719-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.fcl.2014.08.010
Keywords
Gastrocnemius; Shortening; Contracture; Heel pain
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Pain and reduced function caused by disorders of either the plantar fascia or the Achilles tendon are common. Although heel pain is not a major public health problem it affects millions of people each year. For most patients,time and first-line treatments allow symptoms to resolve. A proportion of patients have resistant symptoms. Managing these recalcitrant cases is a challenge. Gastrocnemius contracture produces increased strain in both the Achilles tendon and the plantar fascia. This biomechanical feature must be properly assessed otherwise treatment is compromised.
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