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