Best Practice Case Studies-Plantar Foot Pain

Video Transcription

Video Summary

Dr. Doug Hoffman, a leader in MSK ultrasound at Essentia Health, delivered a presentation on evaluating plantar foot pain using ultrasound. He focused on distinguishing between mid-substance plantar fasciopathy and plantar fibroma, providing insight into the ultrasound protocol for plantar hindfoot pain. The case study involved a 42-year-old female with chronic non-traumatic plantar foot pain exacerbated by activity. Despite interventions such as physical therapy and corticosteroid injections, her symptoms persisted. Dr. Hoffman emphasized the importance of a thorough ultrasound examination, including both supine and prone scanning positions. He distinguished the central, medial, and lateral cords of the plantar fascia, highlighting the common error of confusing fasciopathy with fibromatosis. Key sonographic features were discussed, such as echo texture differences and vascularity, for identifying fibromas. The presentation also covered the complete protocol for examining the plantar fascia and related structures. Dr. Hoffman concluded with the importance of a detailed ultrasound report, which aids in accurate diagnosis and guides treatment options for plantar fascia-related conditions. The session concluded with a Q&A, discussing clinical implications and treatment strategies for the ultrasound findings presented.

Meta Tag

Edition 3rd Edition

Related Case 3rd Edition, CASE 17

Topic Foot

Keywords

3rd Edition, CASE 17

3rd Edition

Foot

MSK ultrasound

plantar foot pain

plantar fasciopathy

plantar fibroma

ultrasound protocol

sonographic features

diagnosis

treatment strategies