Cluffy Wedge

The Cluffy wedge is a pad that is places under the great toe to hold it in a slightly dorsiflexed position. It is designed to treat functional hallux limitus and problems with the windlass mechanism.

Most Useful Resources:
Cluffy Wedge (Foot Health Forum)
Cluffy Wedge (Podiatry Arena)
Cluffy Wedge (Clinical Biomechanics Bootcamp)
Cluffy Wedge (PodiaPaedia)
The Cluffy Wedge (Podiatry Update)
Cluffy Wedge (Podiatry Experts)
Cluffy Wedge (Podiatry TV)

Baxters Nerve Entrapment

Baxter nerve entrapment is a cause of heel pain with the symptoms often mimicking plantar fasciitis and should be conisdered in any case of heel pain the has a neurological component to it.

Most Useful Resources:
Baxters Nerve Entrapment (PodiaPaedia)
Baxter’s Neuritis (Medial Calcaneal Nerve Neuritis) (Podiatry Arena)
Baxter’s neuropathy secondary to plantar fasciitis (Podiatry Arena)
Baxters Nerve Entrapment (Podiatry TV)
Baxters nerve or plantar fasciitis? (Podiatry Experts)
Baxters Nerve Entrapment (Foot Health Forum)

Rupture the plantar fascia to treat plantar fasciitis

This is something of a legend that happened in Australia where a footballer with a chronic plantar fasciitis allegedly jumped from a height in order to rupture his plantar fascia to facilitate healing. A surgical cutting of the plantar fascia is often used to treat chronic plantar fasciitis. It apparently worked.

Most Useful Resources:
Deliberate Rupture of Plantar Fascia to Treat Plantar Fasciitis (PodiaPaedia)
Rupture the plantar fascitis to help? (Podiatry Experts)
Deliberate rupture of plantar fasica to treat plantar fasciitis (Podiatry Arena)

Treatment for a plantar fascia rupture typically involves a combination of conservative measures and, in some cases, surgical intervention:

Rest and immobilization: Initially, it’s important to rest the affected foot and avoid activities that worsen the pain. Immobilization through the use of a walking boot, cast, or crutches may be necessary to allow the plantar fascia to heal.

Ice therapy: Applying ice to the affected area as soon as it happend can help reduce pain and inflammation. Ice packs or frozen water bottles can be used for 15-20 minutes several times a day.

Pain management: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, can help alleviate pain and reduce inflammation. Always consult a healthcare professional before taking any medication.

Physical therapy: A physical therapist may provide specific exercises to stretch and strengthen the muscles and tissues surrounding the foot and ankle. These exercises can help improve mobility, reduce pain, and promote healing.

Orthotic devices: Wearing orthotic devices, such as arch supports or custom-made shoe inserts, can help alleviate stress on the plantar fascia and provide support during the healing process.

Night splints: Night splints are devices worn while sleeping to keep the foot and ankle in a stretched position, which can help prevent the plantar fascia from tightening and promote healing.

Extracorporeal shock wave therapy (ESWT): In some cases, ESWT may be recommended. This treatment involves using shock waves to stimulate healing and reduce pain.

Surgical: If thee above conservative measure do not help, then surgery is an option.

Corticosteroid injections: Corticosteroid injections may be considered if conservative treatments are not effective. However, these injections are generally used sparingly due to potential risks.

Surgical intervention: Surgery is typically considered only when conservative treatments fail to provide relief. Surgical options may include plantar fascia release, where the tight or damaged portion of the plantar fascia is surgically cut or detached to relieve tension.