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Article ID	#20214
Title	Heel pain and HIV-associated lipodystrophy: A report of two cases [case report]
URL	http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2391020
Journal	J Can Chiropr Assoc. 2008 Jun;52(2):103-109
Author(s)	Stupar M Tibbles A
Subject(s)	Fasciitis, Plantar / diagnosis Heel HIV-Associated Lipodystrophy Syndrome
Peer Review	Yes
Publication Type	Case Report
Abstract/Notes	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. This abstract is reproduced with the permission of the publisher; click on the above link for free full text.

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