Treatment of chronic plantar fasciitis with botulinum toxin A: an open case series with a 1 year follow up

Plantar fasciitis, a special type of a soft tissue rheumatic syndrome, is a common painful condition which often becomes chronic. Its aetiopathology is not completely understood.1 Being over weight and standing work are regarded as predisposing factors.2 Microtrauma, nerve entrapment (Baxter’s nerve), or limited ankle dorsiflexion are thought to be responsible.3,4 Most patients can be treated with physical therapy, local glucocorticoid injections, insoles, acupuncture, and extracorporeal shock wave therapy.5,6 However, this treatment cannot improve the pain in all cases and can require a lot of time on the part of both patient and therapist. Surgery is controversial and should be restricted to patients who do not respond to conservative treatment. It is not yet clear whether treatment of …