%0 Journal Article %1 Logan2006 %A Logan, Lynne Romeiser %A Klamar, Karl %A Leon, Jerry %A Fedoriw, Wladislaw %D 2006 %J Am J Phys Med Rehabil %K Adolescent; Blood Transfusion, Autologous; Botulinum Toxin Type A; Cerebral Palsy; Combined Modality Therapy; Fasciitis, Plantar; Female; Hemiplegia; Humans; Injections, Intramuscular; Muscle Spasticity; Neuromuscular Agents; Pain Measurement; Splints %N 8 %P 699--703 %R 10.1097/01.phm.0000228538.39918.7b %T Autologous blood injection and botulinum toxin for resistant plantar fasciitis accompanied by spasticity. %U http://dx.doi.org/10.1097/01.phm.0000228538.39918.7b %V 85 %X An originally ambulatory 18-yr-old woman with spastic left hemiplegic cerebral palsy developed left plantar fasciitis with a gradual loss of function requiring use of a wheelchair. Her symptoms were resistant to physical therapy. Two hundred units of botulinum toxin A was diluted in 4 mL of saline and injected into the gastrocnemius. Three milliliters of autologous blood was injected into the plantar fascia. She reported decreased pain at 3 days postinjection. At 10 days, she had no pain on walking. Dorsiflexion increased and Ashworth and Tardieu improved. A stretching program was taught and a better-fitting night splint was obtained. At 21 days, she exhibited no pain and increased dorsiflexion. Autologous blood injection combined with botulinum toxin A may be an alternative treatment for resistant plantar fasciitis accompanied by spasticity. Our hypothesis is that chronic plantar fasciitis is a degenerative condition and thus is relieved when a mild inflammatory process is created that leads to healing.

@article{Logan2006, abstract = {An originally ambulatory 18-yr-old woman with spastic left hemiplegic cerebral palsy developed left plantar fasciitis with a gradual loss of function requiring use of a wheelchair. Her symptoms were resistant to physical therapy. Two hundred units of botulinum toxin A was diluted in 4 mL of saline and injected into the gastrocnemius. Three milliliters of autologous blood was injected into the plantar fascia. She reported decreased pain at 3 days postinjection. At 10 days, she had no pain on walking. Dorsiflexion increased and Ashworth and Tardieu improved. A stretching program was taught and a better-fitting night splint was obtained. At 21 days, she exhibited no pain and increased dorsiflexion. Autologous blood injection combined with botulinum toxin A may be an alternative treatment for resistant plantar fasciitis accompanied by spasticity. Our hypothesis is that chronic plantar fasciitis is a degenerative condition and thus is relieved when a mild inflammatory process is created that leads to healing.}, added-at = {2014-07-19T20:43:01.000+0200}, author = {Logan, Lynne Romeiser and Klamar, Karl and Leon, Jerry and Fedoriw, Wladislaw}, biburl = {https://www.bibsonomy.org/bibtex/2662c66e0d1e8baa34077205b735978cf/ar0berts}, doi = {10.1097/01.phm.0000228538.39918.7b}, groups = {public}, interhash = {f59a2fb8b47f472f0fa30473572a66d6}, intrahash = {662c66e0d1e8baa34077205b735978cf}, journal = {Am J Phys Med Rehabil}, keywords = {Adolescent; Blood Transfusion, Autologous; Botulinum Toxin Type A; Cerebral Palsy; Combined Modality Therapy; Fasciitis, Plantar; Female; Hemiplegia; Humans; Injections, Intramuscular; Muscle Spasticity; Neuromuscular Agents; Pain Measurement; Splints}, month = Aug, number = 8, pages = {699--703}, pii = {00002060-200608000-00011}, pmid = {16865027}, timestamp = {2014-07-19T20:43:01.000+0200}, title = {Autologous blood injection and botulinum toxin for resistant plantar fasciitis accompanied by spasticity.}, url = {http://dx.doi.org/10.1097/01.phm.0000228538.39918.7b}, username = {ar0berts}, volume = 85, year = 2006 }