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How Technology is Transforming Medical Practice: Plantar Fasciitis As a Case Study

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Heel pain is a common foot and ankle problem resulting from many etiologies. Some of the conditions that may result to heel pain includes plantar fasciitis, Achilles or flexor tendonitis/tendonitis, bone spurs, Sever’s disease (mostly in children 8-14 years old), bursitis, stress fractures, inflamed tendons and many other conditions. The focus of this article on plantar fasciitis, causes, and recent approaches in the management of the condition.

Causes of Plantar Fasciitis
The causes of Plantar Fasciitis are multifactorial. Numerous factors such as flatfoot, obesity, advancing age, inappropriate footwear, decrease in ankle dorsiflexion, have been associated with plantar fascia disorders. Accurate diagnosis of Plantar Fasciitis require the use of new and accurate technology which can only be obtained from experts with the right diagnostic tools. Current diagnostic procedures for accurate diagnosis of Plantar Fasciitis includes Magnetic Resonance Imaging (MRI) which enable specialists to determine the extent of stress fracture. Other procedures includes imaging through ultrasonographic examination.

Current therapies for management of Plantar Fasciitis
Plantar Fasciitis is treated using both non-operative and surgical procedures. Operative procedures include Surgery typically includes open plantar fasciotomy, resection of the heel spur (when present), and release of the abductor hallucis fascia. Other approaches includes radiofrequency nerve ablation, and cryosurgery, have shown good clinical results. Extracorporeal shock wave therapy (ESWT) has also been applied in the treatment of some orthopedic disorders and has shown promising results for treatment of Plantar Fasciitis.

Plantar Fasciitis presents a major problem for heel pains. Other methods apart from surgical procedures includes NSAIDS (non steroidal anti-inflammatory drugs, Steroid injection/iontophoresis has shown significant improvement in the short term (1 month) treatment of Plantar Fasciitis. Also, steroid therapy, when coupled with plantar stretching, can provide efficacious pain relief; however, steroid injections should be combined with ultrasound monitoring to reduce complications.

Microsoft Teams, Exchange and more are still recovering from a Monday outage

The issues started around 3:30PM ET, and Microsoft quickly confirmed they were affecting users worldwide. This is the first major Microsoft Teams outage since the service went down back in September, alongside other Microsoft 365 services like Office 365 and Outlook. Microsoft also blamed its previous outage on a configuration change.

Improving Patient Records in Healthcare With Technology

Patient records are the primary repository of data in the information-intensive health care industry. Although clinical information is increasingly likely to be computerized, the current, predominant mode for recording patient care data remains the paper record. Paper records have the advantages of being familiar to users and portable; when they are not too large, users can readily browse through them. Paper records, however, have serious, overriding limitations that frequently frustrate users and perpetuate inefficiencies in the health care system. Further, the impact of these limitations is growing as the health care system becomes more complex. Modern patient care requirements have outgrown the paper record.

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