Heel pain and HIV-associated lipodystrophy: a report of two cases

Plantar fasciitis is diagnosed based on a pathognomonic clinical presentation and physical examination including plantar heel pain with the initial few steps after a period of inactivity. People living with HIV/AIDS, who are taking anti-retroviral medications, often have an associated redistribution...

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Bibliographic Details
Published in:Journal of the Canadian Chiropractic Association 2008-06, Vol.52 (2), p.103-109
Main Authors: Stupar, Maja, Tibbles, Anthony
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
AIDS
Body fat
Care and treatment
Chiropractic medicine
Diagnosis
Diseases
Feet
HIV
HIV patients
Human immunodeficiency virus
Lipodystrophy
Medical diagnosis
Pain
Risk factors
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Summary:Plantar fasciitis is diagnosed based on a pathognomonic clinical presentation and physical examination including plantar heel pain with the initial few steps after a period of inactivity. People living with HIV/AIDS, who are taking anti-retroviral medications, often have an associated redistribution of body fat (lipodystrophy). Lipoatrophy of the extremities may involve the heel fat-pad in this population and result in the signs and symptoms of plantar fasciitis. Two cases of plantar heel pain in HIV-associated lipodystrophy are presented to discuss the possible clinical association between the two conditions. Although conservative therapies have limited evidence, they are commonly used and have been seen, clinically, to result in a resolution of symptoms. In the presented cases, the individuals benefited from soft tissue therapy, modalities, activity modification and education on proper footwear. Clinicians should be aware that the association between these two conditions may be a significant cause of morbidity in a population of patients with HIV.
ISSN:0008-3194