{"id":236,"date":"2018-07-01t11:44:15","date_gmt":"2018-07-01t01:44:15","guid":{"rendered":"\/\/www.iolishoes.com\/?page_id=236"},"modified":"2021-08-19t13:27:39","modified_gmt":"2021-08-19t03:27:39","slug":"foot-normal","status":"publish","type":"page","link":"\/\/www.iolishoes.com\/foot-normal\/","title":{"rendered":"foot normal"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"236\" class=\"elementor elementor-236\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-41f9b318 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"41f9b318\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-637e5e33\" data-id=\"637e5e33\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fa9d98a elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"fa9d98a\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d2dd78e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d2dd78e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0b40815\" data-id=\"0b40815\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b17eacd elementor-widget elementor-widget-text-editor\" data-id=\"b17eacd\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h2><span class=\"ez-toc-section\" id=\"plantar_fascia\"><\/span>plantar fascia<span class=\"ez-toc-section-end\"><\/span><\/h2>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-495c254d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"495c254d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3b5d8ec\" data-id=\"3b5d8ec\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-20e6f1df elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"20e6f1df\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<a class=\"elementor-flip-box__layer elementor-flip-box__back\" href=\"#elementor-action%3aaction%3dlightbox%26settings%3deyj1cmwioijodhrwolwvxc91bhryyxnvdw5kcgflzglhlmnvbvwvd3aty29udgvudfwvdxbsb2fkc1wvmjaymvwvmdncl3bsyw50yxitzmfzy2lhlwfuyxrvbxkuanbniiwidhlwzsi6imltywdliiwidgl0bguioijqbgfudgfyigzhc2npysbhbmf0b215llxuumvmigfudg9teuxlyxjuaw5nlmnvbsj9\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c47dbde elementor-widget elementor-widget-text-editor\" data-id=\"1c47dbde\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>anatomy of the plantar fascia.<\/p><p>ref: anatomylearning.com<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-67240b92\" data-id=\"67240b92\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f4a5296 elementor-widget elementor-widget-text-editor\" data-id=\"f4a5296\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><em><strong>anatomy<\/strong><\/em><\/p><ul><li>the origin on the calcaneum encounters most of the weight bearing stress and is where plantar fascitis occurs.<\/li><\/ul><p><em><strong>technique<\/strong><\/em><\/p><ul><li>assess longitudinally, with the probe on the plantar aspect of the heel.<\/li><li>ensure you sweep across through the entire width of the origin.<\/li><li>follow the plantar fascia distally towards the toes.<\/li><\/ul><p>\u00a0<strong>tip<\/strong>: most plantar fascitis occurs medially at the calcaneal origin.<\/p><p><em><strong>what to look for<\/strong><\/em><\/p><ul><li>hypoechoic thickening at the calcaneal origin.<\/li><li>calcification<\/li><li>tears<\/li><li>vascularity (none should be visible)<\/li><li>nodular thickening of the mid and distal plantar fascia bands (plantar fibromatosis)<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-330e848b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"330e848b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-ade5c2e\" data-id=\"ade5c2e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bdedb2f elementor-widget elementor-widget-image\" data-id=\"bdedb2f\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"640\" height=\"480\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/plantar-fascia-scan-plane.jpg\" class=\"attachment-medium_large size-medium_large wp-image-776\" alt=\"plantar fascia origin ultrasound scan plane.\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/plantar-fascia-scan-plane.jpg 640w, \/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/plantar-fascia-scan-plane-300x225.jpg 300w, \/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/plantar-fascia-scan-plane-600x450.jpg 600w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">plantar fascia origin scan plane.\t<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-5bef7771\" data-id=\"5bef7771\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-324848ff elementor-widget elementor-widget-ep-image-comparison\" data-id=\"324848ff\" data-element_type=\"widget\" data-widget_type=\"ep-image-comparison.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div id=\"ep-ic-324848ff\" data-offset=\"0.5\" data-orientation=\"horizontal\" data-before-label=\"before\" data-after-label=\"after\" data-overlay=\"false\" data-hover=\"\" data-handle=\"true\" data-click=\"\">\n\t\t\t\t\t<img decoding=\"async\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/pl-fasc-norm.jpg\" title=\"pl-fasc-norm\" alt=\"normal plantar fascia origin on the calcaneum. tension enthesophytes are common here.\" loading=\"lazy\" \/>\t\t\t\t\t<img decoding=\"async\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/pl-fasc-norm-hl.jpg\" title=\"pl-fasc-norm-hl\" alt=\"pl-fasc-norm-hl\" loading=\"lazy\" \/>\t\t\t\t<\/div>\n\t\t\t\t<script>\n\t\t\t\t\tjquery(document).ready(function () {\n\t\t\t\t\t\tjquery(document).trigger('elementor\/render\/ep_image_comparison', '#ep-ic-324848ff');\n\t\t\t\t\t});\n\t\t\t\t<\/script>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a6acaff elementor-widget elementor-widget-text-editor\" data-id=\"a6acaff\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>normal plantar fascia origin on the calcaneum. tension enthesophytes are common here. follow the fibres anteriorly through the arch.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-670c380c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"670c380c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8fa9945\" data-id=\"8fa9945\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d9897cc elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"d9897cc\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2b2e724 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2b2e724\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-477f041\" data-id=\"477f041\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0b17fa6 elementor-widget elementor-widget-text-editor\" data-id=\"0b17fa6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h2><span class=\"ez-toc-section\" id=\"metatarso-phalangeal_joints_extensor_tendons\"><\/span>metatarso-phalangeal joints &amp; extensor tendons.<span class=\"ez-toc-section-end\"><\/span><\/h2><p><em><strong>assess for:<\/strong><\/em><\/p><ul><li>joint effusions (simple\/complex)<\/li><li>synovial thickening and vascularity.<\/li><li>tendonopathy and smooth gliding of the tendons when passively mobilised.<\/li><\/ul><p><strong>tip<\/strong>: clawing of the toes, may indicate plantar plate or mtpj degeneration.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3f545a3b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3f545a3b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-42f4b043\" data-id=\"42f4b043\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3c0e963 elementor-widget elementor-widget-image\" data-id=\"3c0e963\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"300\" height=\"225\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/forefoot-scan-plane-300x225.jpg\" class=\"attachment-medium size-medium wp-image-768\" alt=\"view each joint and extensor tendon.\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/forefoot-scan-plane-300x225.jpg 300w, \/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/forefoot-scan-plane-600x450.jpg 600w, \/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/forefoot-scan-plane.jpg 640w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">view each joint and extensor tendon.<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-22c1a62c\" data-id=\"22c1a62c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-701e245b elementor-widget elementor-widget-ep-image-comparison\" data-id=\"701e245b\" data-element_type=\"widget\" data-widget_type=\"ep-image-comparison.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div id=\"ep-ic-701e245b\" data-offset=\"0.5\" data-orientation=\"horizontal\" data-before-label=\"before\" data-after-label=\"after\" data-overlay=\"false\" data-hover=\"false\" data-handle=\"false\" data-click=\"true\">\n\t\t\t\t\t<img decoding=\"async\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/mcpj.jpg\" title=\"metatarso-phalangeal joint\" alt=\"ultrasound of metatarso-phalangel joint\" loading=\"lazy\" \/>\t\t\t\t\t<img decoding=\"async\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/mcpj-hl.jpg\" title=\"metatarso-phalangeal joint ultrasound\" alt=\"ultrasound of metatarso-phalangeal joint\" loading=\"lazy\" \/>\t\t\t\t<\/div>\n\t\t\t\t<script>\n\t\t\t\t\tjquery(document).ready(function () {\n\t\t\t\t\t\tjquery(document).trigger('elementor\/render\/ep_image_comparison', '#ep-ic-701e245b');\n\t\t\t\t\t});\n\t\t\t\t<\/script>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3083a9d elementor-widget elementor-widget-text-editor\" data-id=\"3083a9d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<table border=\"0\" cellspacing=\"5\" cellpadding=\"0\"><tbody><tr><td>assess the extensor tendons dynamically for pathology. check the underlying joints (with minimal probe pressure) for effusions.<\/td><\/tr><\/tbody><\/table>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-94e085c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"94e085c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-aa00f7c\" data-id=\"aa00f7c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-668c36b elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"668c36b\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ff050bb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ff050bb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-df5ad58\" data-id=\"df5ad58\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-afa63b1 elementor-widget elementor-widget-text-editor\" data-id=\"afa63b1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h2><span class=\"ez-toc-section\" id=\"plantar_plates\"><\/span>plantar plates<span class=\"ez-toc-section-end\"><\/span><\/h2><p><em><strong>anatomy<\/strong><\/em><\/p><ul><li>the plantar plate is a &#8216;labrum-like&#8217; supportive apparatus on the plantar aspect of the mtpj arising from the base of the proximal phalanx.<\/li><\/ul><p><em><strong>technique<\/strong><\/em><\/p><ul><li>assess in longitudinal\u00a0 with the toe in slight extension.<\/li><li>slide from medial to lateral at each joint to assess the entire width of each plantar plate.<\/li><\/ul><p><em><strong>what to look for<\/strong><\/em><\/p><ul><li>check for tears (hypoechoic clefts) and calcification.<\/li><\/ul><p><strong>tip<\/strong>: the 2nd plantar plate is more prone to degenerative changes than the others.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7ccd73c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7ccd73c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6a768a90\" data-id=\"6a768a90\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7261480 elementor-widget elementor-widget-image\" data-id=\"7261480\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"640\" height=\"480\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/pl-plate-scan-plane.jpg\" class=\"attachment-large size-large wp-image-775\" alt=\"ultrasound scan plane to assess the plantar plate. move sideways to view each metatarso-phalangeal joint.\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/pl-plate-scan-plane.jpg 640w, \/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/pl-plate-scan-plane-300x225.jpg 300w, \/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/pl-plate-scan-plane-600x450.jpg 600w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">ultrasound scan plane to assess the plantar plate. move sideways to view each metatarso-phalangeal joint.<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3f10e2e4\" data-id=\"3f10e2e4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-16f93d8f elementor-widget elementor-widget-ep-image-comparison\" data-id=\"16f93d8f\" data-element_type=\"widget\" data-widget_type=\"ep-image-comparison.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div id=\"ep-ic-16f93d8f\" data-offset=\"0.5\" data-orientation=\"horizontal\" data-before-label=\"before\" data-after-label=\"after\" data-overlay=\"false\" data-hover=\"false\" data-handle=\"false\" data-click=\"true\">\n\t\t\t\t\t<img decoding=\"async\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/plantar-plate.jpg\" title=\"plantar-plate\" alt=\"ultrasound image- a normal plantar plate (green) underlying the flexor digitorum tendon.\" loading=\"lazy\" \/>\t\t\t\t\t<img decoding=\"async\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/plantar-plate-hl.jpg\" title=\"plantar-plate-hl\" alt=\"ultrasound image- a normal plantar plate (green) underlying the flexor digitorum tendon.\" loading=\"lazy\" \/>\t\t\t\t<\/div>\n\t\t\t\t<script>\n\t\t\t\t\tjquery(document).ready(function () {\n\t\t\t\t\t\tjquery(document).trigger('elementor\/render\/ep_image_comparison', '#ep-ic-16f93d8f');\n\t\t\t\t\t});\n\t\t\t\t<\/script>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2f71239 elementor-widget elementor-widget-text-editor\" data-id=\"2f71239\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>the plantar plate is seen arising from the base of the proximal phalanx on the plantar aspect. you should gently extend the toe to visualise fully.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5367d6e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5367d6e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3c2a0bb\" data-id=\"3c2a0bb\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ff4a552 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"ff4a552\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fcd611a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fcd611a\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-18629c44\" data-id=\"18629c44\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5b5c4746 elementor-widget elementor-widget-text-editor\" data-id=\"5b5c4746\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h2><span class=\"ez-toc-section\" id=\"mortons_neuroma_interdigital_neuroma_and_inter-metatarsal_bursa\"><\/span>mortons neuroma (interdigital neuroma) and inter-metatarsal bursa<span class=\"ez-toc-section-end\"><\/span><\/h2><ul><li>a morton&#8217;s neuroma is a neurofibroma of the common plantar digital nerve due to repetitive insult to the nerve.<\/li><li>more commonly the inter-metatarsal bursa is thickened (+\/- fluid). this protrudes out the plantar aspect between the metatarsal heads, impinging upon the nerve duplicating the symptoms of a morton&#8217;s neuroma.<\/li><li>the bursa may occasionally be identified from the dorsal aspect however a plantar approach with dynamic assessment is preferable.<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7bfc5eef elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7bfc5eef\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-48ba43cb\" data-id=\"48ba43cb\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1229d91c elementor-align-right elementor-widget elementor-widget-button\" data-id=\"1229d91c\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm elementor-animation-grow\" href=\"\/\/www.iolishoes.com\/foot-pathology\/\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-arrow-alt-circle-down\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">click here<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-39947606\" data-id=\"39947606\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1c6ff533 elementor-widget elementor-widget-text-editor\" data-id=\"1c6ff533\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><a href=\"\/\/www.iolishoes.com\/foot-pathology\/\">for ultrasound\u00a0 examples of mortons neuromas, bursae and neuroma bursal complexes<\/a><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2f2dd0a4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2f2dd0a4\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-30947f48\" data-id=\"30947f48\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a508a2 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"a508a2\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-403c8efb elementor-widget elementor-widget-text-editor\" data-id=\"403c8efb\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>anatomy of the forefoot. plantar aspect, demonstrating the relkative position of the tendons, joints, nerves and bursae. (note that there are bursae in each intermetatarsal space)<br \/>ref: anatomylearning.com<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3a89478b\" data-id=\"3a89478b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-77af39a8 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"77af39a8\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-78647786 elementor-widget elementor-widget-text-editor\" data-id=\"78647786\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>sagittal plane of the intermetatarsal space. demonstrating the anatomical relationship of the intermetatarsal bursa and plantar nerve.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1c5e4944 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1c5e4944\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-71f53a10\" data-id=\"71f53a10\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fb912cd elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"fb912cd\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-637f1f6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"637f1f6\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-43d2e32\" data-id=\"43d2e32\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c084de8 elementor-widget elementor-widget-image\" data-id=\"c084de8\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"650\" height=\"351\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/normal_forefoot_anatomy.jpg\" class=\"attachment-large size-large wp-image-772\" alt=\"\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/normal_forefoot_anatomy.jpg 650w, \/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/normal_forefoot_anatomy-300x162.jpg 300w, \/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/normal_forefoot_anatomy-600x324.jpg 600w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-724ec466 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"724ec466\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4b60f63b\" data-id=\"4b60f63b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8fafb2d elementor-widget elementor-widget-image\" data-id=\"8fafb2d\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"480\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/mortons-scan-plane.jpg\" class=\"attachment-large size-large wp-image-771\" alt=\"the same scan plane and technique is employed to examine for mortons neuromas or metatarsal bursae because they are differential diagnoses for each other.\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/mortons-scan-plane.jpg 640w, \/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/mortons-scan-plane-300x225.jpg 300w, \/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/mortons-scan-plane-600x450.jpg 600w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">the same scan plane and technique is employed to examine for mortons neuromas or metatarsal bursae because they are differential diagnoses for each other.\t<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7fe96cd2\" data-id=\"7fe96cd2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-750b44f elementor-widget elementor-widget-image\" data-id=\"750b44f\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"711\" height=\"596\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/common_digital_nerve_forefoot_ultrasound_transverse.jpg\" class=\"attachment-large size-large wp-image-767\" alt=\"ultrasound of digital nerve mortons neuroma site\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/common_digital_nerve_forefoot_ultrasound_transverse.jpg 711w, \/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/common_digital_nerve_forefoot_ultrasound_transverse-300x251.jpg 300w, \/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/common_digital_nerve_forefoot_ultrasound_transverse-600x503.jpg 600w\" sizes=\"(max-width: 711px) 100vw, 711px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-61c3f833 elementor-widget elementor-widget-text-editor\" data-id=\"61c3f833\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>transverse view showing the location of the common plantar digital nerve (<span style=\"color: #339966;\">green arrow<\/span>).<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-28f579d1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"28f579d1\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-55719d1c\" data-id=\"55719d1c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1e9405e elementor-widget elementor-widget-image\" data-id=\"1e9405e\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"640\" height=\"480\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/pl-plate-scan-plane.jpg\" class=\"attachment-large size-large wp-image-775\" alt=\"ultrasound scan plane to assess the plantar plate. move sideways to view each metatarso-phalangeal joint.\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/pl-plate-scan-plane.jpg 640w, \/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/pl-plate-scan-plane-300x225.jpg 300w, \/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/pl-plate-scan-plane-600x450.jpg 600w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">mortons neuroma longitudinal scan plane<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-517608fb\" data-id=\"517608fb\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-220302d elementor-widget elementor-widget-ep-image-comparison\" data-id=\"220302d\" data-element_type=\"widget\" data-widget_type=\"ep-image-comparison.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div id=\"ep-ic-220302d\" data-offset=\"0.5\" data-orientation=\"horizontal\" data-before-label=\"before\" data-after-label=\"after\" data-overlay=\"false\" data-hover=\"false\" data-handle=\"false\" data-click=\"true\">\n\t\t\t\t\t<img decoding=\"async\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/common_digital_nerve_forefoot_ultrasound_ls.jpg\" title=\"common_digital_nerve_forefoot_ultrasound_ls\" alt=\"ultrasound of a normal common interdigital nerve\" loading=\"lazy\" \/>\t\t\t\t\t<img decoding=\"async\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/common_digital_nerve_forefoot_ultrasound_ls_hl.jpg\" title=\"common_digital_nerve_forefoot_ultrasound_ls_hl\" alt=\"ultrasound of a normal common digital nerve\" loading=\"lazy\" \/>\t\t\t\t<\/div>\n\t\t\t\t<script>\n\t\t\t\t\tjquery(document).ready(function () {\n\t\t\t\t\t\tjquery(document).trigger('elementor\/render\/ep_image_comparison', '#ep-ic-220302d');\n\t\t\t\t\t});\n\t\t\t\t<\/script>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-47b891a1 elementor-widget elementor-widget-text-editor\" data-id=\"47b891a1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>with a high frequency (&gt;12mhz) transducer, the normal digital nerve involved in a morton&#8217;s neuroma can be identified.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-38989ed2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"38989ed2\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4ae37006\" data-id=\"4ae37006\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-43219a3a elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"43219a3a\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4912c9d8 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4912c9d8\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-69e62b1f\" data-id=\"69e62b1f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-16ca80d9 elementor-widget elementor-widget-spacer\" data-id=\"16ca80d9\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-28541a41 elementor-widget elementor-widget-text-editor\" data-id=\"28541a41\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h1 style=\"text-align: center;\">scan protocol<\/h1>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-285c94d7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"285c94d7\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1cf4afaa\" data-id=\"1cf4afaa\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-44391b2 elementor-widget elementor-widget-text-editor\" data-id=\"44391b2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3><span class=\"ez-toc-section\" id=\"role_of_ultrasound\"><\/span>role of ultrasound<span class=\"ez-toc-section-end\"><\/span><\/h3><p>ultrasound is used for the soft tissue structures of the foot.<\/p><p>ultrasound is a valuable diagnostic tool in assessing the following indications:<\/p><ul><li>muscular, tendinous and ligamentous damage (chronic and acute)<\/li><li>plantar plates<\/li><li>bursitis<\/li><li>soft tissue masses such as ganglia, lipomas morton\u2019s neuromas<\/li><li>plantar fascia<\/li><li>joint effusions<\/li><li>vascular pathology<\/li><li>haematomas<\/li><li>classification of a mass eg solid, cystic, mixed<\/li><li>post surgical complications eg abscess, oedema<\/li><li>guidance of injection, aspiration or biopsy<\/li><li>some bony pathology.<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-edb9eb2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"edb9eb2\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-680a65f8\" data-id=\"680a65f8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6ee5a519 elementor-widget elementor-widget-text-editor\" data-id=\"6ee5a519\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3><span class=\"ez-toc-section\" id=\"limitations\"><\/span>limitations<span class=\"ez-toc-section-end\"><\/span><\/h3><p>the thick skin on the sole of the foot will require higher gain and\/or power settings. you my need to use a lower frequency probe, particularly at the hind foot.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4265c72a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4265c72a\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4cd1c631\" data-id=\"4cd1c631\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-53ebddd1 elementor-widget elementor-widget-text-editor\" data-id=\"53ebddd1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3><span class=\"ez-toc-section\" id=\"patient_preparation\"><\/span>patient preparation<span class=\"ez-toc-section-end\"><\/span><\/h3><ul><li>none required<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-189b71d7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"189b71d7\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b5f266f\" data-id=\"b5f266f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-615e0db0 elementor-widget elementor-widget-text-editor\" data-id=\"615e0db0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3><span class=\"ez-toc-section\" id=\"equipment_setup\"><\/span>equipment setup<span class=\"ez-toc-section-end\"><\/span><\/h3><p>use of a high resolution probe (7-15mhz) is essential when assessing the superficial structures of the foot. careful scanning technique to avoid anisotropy (and possible misdiagnosis). beam steering or compounding can help to overcome anisotropy in linear structures such as tendons. good colour \/ power \/ doppler capabilities when assessing vessels or vascularity of a structure. be prepared to change frequency output of probe (or probes) to adequately assess both superficial and deeper structures.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5eaf78d3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5eaf78d3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-66b66075\" data-id=\"66b66075\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-192de791 elementor-widget elementor-widget-text-editor\" data-id=\"192de791\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3><span class=\"ez-toc-section\" id=\"common_pathology\"><\/span>common pathology<span class=\"ez-toc-section-end\"><\/span><\/h3><ul><li>plantar fasciitis<\/li><li>arthritis<\/li><li>inter-metatarsal bursitis<\/li><li>morton&#8217;s neuroma<\/li><li>foreign bodies<\/li><li>plantar plate degeneration\/injury<\/li><li>tendinopathy<\/li><li>\u00a0adventitial bursal effusion<\/li><li>stress fracture<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4895a3f2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4895a3f2\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f0a7ab7\" data-id=\"f0a7ab7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2ff8686a elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"2ff8686a\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-126efd96 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"126efd96\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-610eb8c9\" data-id=\"610eb8c9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2167c71a elementor-widget elementor-widget-text-editor\" data-id=\"2167c71a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h1 style=\"text-align: center;\">scanning technique<\/h1>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7a79638f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7a79638f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4ff45de2\" data-id=\"4ff45de2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3bef2604 elementor-widget elementor-widget-text-editor\" data-id=\"3bef2604\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><em><strong>hind foot<\/strong><\/em><\/p><p>for example images, click\u00a0<a href=\"\/\/www.iolishoes.com\/pathology-foot\/\">here<\/a>\u00a0to goto the foot pathology page.<\/p><p>plantar fascia:<br \/>patient prone on bed, foot flexed with toes on the bed for support. place the probe over the midline of the heel on the plantar aspect. the toe of the probe towards the heel. the plantar fascia will be seen as a fibrillar structure inserting onto the calcaneum (see pic). it should be flat and homogenous.<\/p><p><em><strong>mid foot<\/strong><\/em><\/p><p>plantar fibromatosis:<br \/>the patient will generally present with on or more palpable thickenings in the arch of their foot. follow the plantar fascia into the arch and look for fusiform, nodular thickenings. they may be subtle and more numerous than can be palpated.<\/p><p><em><strong>forefoot<\/strong><\/em><\/p><p>begin by scanning each metatarso-phalangeal joint for effusions, synovial thickenings or ganglia. assess the extensor then flexor aspects.<\/p><p><strong>morton\u2019s neuroma v&#8217;s bursa:<\/strong><\/p><p>scan in transverse across the plantar aspect of the metatarsal heads.<\/p><p>utilise the &#8216;mulder\u2019s technique&#8217; to elicit a click and visualise any correlating pathology. this involves gripping across the anterior forefoot whilst scanning the plantar aspect. use a knuckle of your gripping hand to simultaneously apply pressure between the metatarsal heads as you squeeze across the foot.<\/p><p>a morton&#8217;s neuroma will be seen as a non compressible, hypoechoic rounded mass at the metatarsal head interspace. similarly, a thickened intermetatarsal bursa will be a hypoechoic area between the metatarsal heads but will be compressible and avascular. it will be seen to bulge out the plantar aspect and correspond to the mulder&#8217;s click.<\/p><p><strong>plantar plates:<\/strong><\/p><p>scan in longitudinal over the plantar aspect of the metatarso-phalageal joints. the plantar plate is readily seen as a homogeneous elongated wedge arising from the base of the proximal phalanx extending under the head of the metatarsal<\/p><p>view with the toes slightly extended<\/p><p>check for tears, calcification and heterogeneity (suggesting degeneration)<\/p><p><strong>foreign body<\/strong><\/p><p>ensure you approach the proposed site of the foreign body from different angles. some materials will be poorly reflective and almost invisible unless the beam is perpendicular to them. there will usually be a surrounding hypoechoic halo representing an inflammatory reaction<\/p><p>identify the plane of tissue it is in, how close it is to the entry wound and to any blood vessels. it may be helpful to mark the location and orientation of the foreign body on the skin to guide removal.<\/p><p><strong>joint abnormalities<\/strong><\/p><ul><li>joint effusions:<\/li><li>gout: abnormal uric acid metabolism resulting in joint inflammation. may see tophaceous gout as a complex echogenic mass (tophus) in the soft<\/li><li>osteoarthritis: bony irregularity at the bone ends with joint effusion. when acute the joint will be hyperaemic<\/li><li>rheumatoid arthritis: thickened synovium with a complex &#8216;thick&#8217; joint effusion, pannus &amp; associated boney iregularity.<\/li><\/ul><p><strong>tendon abnormalities<\/strong><\/p><ul><li>check for tendon thickening (compare with other side)<\/li><li>fluid in the tendon sheath<\/li><li>integrity of the tendon- any tear?<\/li><li>does the tendon slide freely when mobilised?<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6866a616 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6866a616\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-37329b01\" data-id=\"37329b01\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-dad544b elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"dad544b\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3ee16949 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3ee16949\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-41766f58\" data-id=\"41766f58\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-21a5f3be elementor-widget elementor-widget-text-editor\" data-id=\"21a5f3be\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3><span class=\"ez-toc-section\" id=\"basic_hardcopy_imaging\"><\/span>basic hardcopy imaging<span class=\"ez-toc-section-end\"><\/span><\/h3><p>hard copy imaging should reflect the anatomy investigated.<\/p><ul><li>document the normal anatomy. any pathology found in 2 planes, including measurements and any vascularity.<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>plantar fascia anatomy of the plantar fascia. ref: anatomylearning.com anatomy the origin on the calcaneum encounters most of the weight bearing stress and is where plantar fascitis occurs. technique assess longitudinally, with the probe on the plantar aspect of the heel. ensure you sweep across through the entire width of the origin. follow the plantar [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"tags":[],"class_list":["post-236","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/pages\/236"}],"collection":[{"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/comments?post=236"}],"version-history":[{"count":0,"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/pages\/236\/revisions"}],"wp:attachment":[{"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/media?parent=236"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/tags?post=236"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}