Indications
1. Plantar Fasciitis refractory to basic measures
Mechanism
1. Keeps foot in maximal dorsiflexion
2. May be uncomfortable if >90 degrees
3. May interfere with sleep
Preparation
1. Layer 4" dry Fiberglass casting material into 12 plies
  1. Length to extend between high calf and proximal toes
2. Put casting material inside tube gauze
3. Apply material to foot and leg
4. Maximize dorsiflexion
  1. Patient may hold tube gauze to dorsiflex foot
5. Apply soaked ace wrap around splint
6. Remove ace wrap when splint hardened
Efficacy of posterior night splints
1. Relieved symptoms of 16 out of 16 patients (n=32)
2. Placebo: 6 of 17 control patients improved
3. Average time to healing: 12.5 weeks
References

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.