Plantar fasciitis. They can develop after a stress fracture of the plantar fascia. J Anat. The plantar calcaneal spur: a review of anatomy, histology, etiology and key associations. This case highlights the importance of screening adverse effect of CBZ on bone metabolism in patients with long CBZ use. The most common symptom of plantar fasciitis is a dull ache that may last for hours. Calcaneal nerve block for plantar fasciitis; Cervical plexus block (superficial and deep) for the management of post-operative pain after clavicle open reduction and internal fixation (ORIF), after ORIF of distal radius fracture, or shoulder surgery; and for the treatment of chronic radicular pain/post-laminectomy syndrome Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. In the morning, the pain becomes worse due to inactivity during sleep. Over time this can cause a spur to form. Although they are not a cause of Plantar fasciitis, they are similar in their causes. As mentioned, the spur itself is not always the reason for the pain. HHS Vulnerability Disclosure, Help Due to the rarity of both conditions, we decided to present and discuss this patient. However, the difference is that the heel spur itself is not usually the actual cause of the pain. The first signs of plantar fasciitis are a dull ache and significant pain during walking and rest. Rethinking our surgical approach to fifth metatarsal stress fractures. Keep reading to eliminate your confusion between plantar fasciitis vs heel spur. What are the typical features? Rethinking our surgical approach to fifth metatarsal stress fractures. The most common symptom of plantar fasciitis is a dull ache that may last for hours. In many cases, a plantar fasciitis stress fracture can be caused by activities or habits that increase the amount of pressure placed on the foot. 2 (yellow arrow). Normal melanocytes are found in the basal layer of the epidermis. Treatment of plantar fasciitis should consist of physiotherapy and podiatry. van Leeuwen K. D. B., Rogers J., Winzenberg T., van Middelkoop M. Higher body mass index is associated with plantar fasciopathy/'plantar fasciitis': systematic review and meta-analysis of various clinical and imaging risk factors. In addition, rolling the plantar fascia with a tennis or golf ball may help. In addition, referral to a physiotherapist for exercises may be helpful. It is a non-invasive, economical and readily available tool that is recommended as a first-line diagnostic modality to rule out torn ligaments, tendonitis, tenosynovitis, plantar fascia, soft tissue masses or Morton's neuroma.. Type I, angle was less than 30 (a). -, Tong K. B., Furia J. In acute-on chronic cases, the PF tear result as complication of plantar fasciitis (previous steroid injections are a reported risk factor) and usually occur in the proximal fascia [1,3,4]. When patients receiving AED treatment present with heel pain without previous plantar fasciitis history or traumatic event, insufficiency fractures should be kept in mind. If you believe you are dealing with any of these conditions, do not hesitate to see a doctor and get an official diagnosis. When conservative treatment fails for recalcitrant plantar fasciitis, how does endoscopic plantar fascia release help? 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The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes. Proper Placement of TENS Pads for Plantar Fasciitis, How Long Do You Wear Boots After Bunion Surgery? Clipboard, Search History, and several other advanced features are temporarily unavailable. In general, swelling of the plantar fascia, also known as plantar fasciitis or heel spur, usually occurs at the heel end. WebPlantar fasciitis is the inflammation of the plantar fascia the tissue which connects the heel to the ball of the foot. J Foot Ankle Surg. -, McClinton S. M., Heiderscheit B. C., McPoil T. G., Flynn T. W. Effectiveness of physical therapy treatment in addition to usual podiatry management of plantar heel pain: a randomized clinical trial. Plantar fasciitis; Calcaneal fracture stress; Heel pad syndrome (deep, bruises and pain in the centre of the heel) Haglund deformity - this is a prominence of the calcaneus that can cause bursitis between the calcaneus and the Achilles tendon; Sever's Disease - Irritation of the back of the calcaneus at the growth plate. 2012 Sep-Oct;14(5):477-81. doi: 10.5604/15093492.1005084. WebThe factors contributing to this disorder are similar to those causing plantar fasciitis, but a tight Achilles tendon appears to be a greater contributor than pronation. The real cause of the pain in most patients is plantar fasciitis. Withdrawal reaction of carbamazepine after neurovascular decompression for trigeminal neuralgia: a preliminary study. Cho BW, Choi JH, Han HS, Choi WY, Lee KM. All rights reserved. If you are diagnosed with heel spur and experience pain at the heels back, there is a big chance that you have Achilles tendinitis. 2005 Jan;22(1):45-54. doi: 10.1016/j.cpm.2004.08.004. This is known as a calcaneal stress fracture. While plantar fascia is naturally strong and can endure great force. Generally, pain is often throbbing or burning at the inside of the heel. This Friday, were taking a look at Microsoft and Sonys increasingly bitter feud over Call of Duty and whether U.K. regulators are leaning toward torpedoing the Activision Blizzard deal. Stress Fractures Heel That Pain, Plantar Fasciitis vs Stress Fracture Angleton ER, Heel Stress Fracture vs Plantar Fasciitis Baptist Health Blog, Are You Sure Its Plantar Fasciitis? Edward Blahous, Jr DPM. Type II, angle was from 30 to 60 (b). Some patients experience worse pain before they realize the stabbing pain in the heel. official website and that any information you provide is encrypted Often 3-5 sessions at weekly intervals are required. Below are the common symptoms of plantar fasciitis: Different factors can cause or trigger plantar fasciitis, including: A heel spur is a type of calcium deposit or bone spur that develops toward the heel bones or calcaneus back, whether the plantar fascia ligament inserts. 8600 Rockville Pike Plantar fasciitis. Some existing research studies had found a correlation between calcaneal spurs and plantar fasciitis, and this study had found the correlation in Chinese population. metatarsal stress fracture. In her past medical history she reported ongoing carbamazepine (CBZ) use over 8 years for trigeminal neuralgia. Use coupon PRO15. Menz HB, Thomas MJ, Marshall M, Rathod-Mistry T, Hall A, Chesterton LS, Peat GM, Roddy E. Rheumatology (Oxford). It acts as a shock absorber for all the stress and strain placed on the feet when walking, jumping, and running. Weber JM, Vidt LG, Gehl RS, Montgomery T. Clin Podiatr Med Surg. Journal of Foot and Ankle Research. -. This site needs JavaScript to work properly. official website and that any information you provide is encrypted Acute tears are related to forcible plantar flexion of the foot in competitive athletes and commonly occur distal to calcaneal insertion of the PF[1. BMC Musculoskeletal Disorders. Both plantar fasciitis and heel spur can cause heel pain. This type of pain is caused by a weakened plantar fascia and requires medical attention. The site is secure. A plantar heel spur can be very painful and can affect any part of the foot. Patient Satisfaction - Assessing and Achieving? Patient is a UK registered trade mark. Try our Symptom Checker Got any other symptoms? Egton Medical Information Systems Limited. Relationship and Classification of Plantar Heel Spurs in Patients With Plantar Fasciitis. Careers. The most common pathological factor in the population was plantar fasciitis. First, we can elicit pain upon palpation of the origin of the plantar Posterior night splint for plantar fasciitis, Doterra Essential Oils For Plantar Fasciitis, Essential Oil Roller For Plantar Fasciitis, Lavender Essential Oil For Plantar Fasciitis. The foot or ankle may even appear purple. Registered in England and Wales. Persists after Plantar Fasciitis resolves Calcaneus Stress Fracture ( Calcaneus) Assess for in chronic cases X. Ronald Guberman DPM, DABFAS. You should consult a doctor immediately if you notice any of these symptoms. The cause is likely multifactorial and may include, https://www.ajronline.org/doi/10.2214/AJR.13.10543, About Your Injury Stress fractures of the metatarsals occur most commonly in women. Careers. 2008;1(1, article 2) doi: 10.1186/1757-1146-1-2. Plantar fascia refers to the thick, soft connective tissue band that stretches from the heels back to the toes base. Ultrasound is helpful to detect typical changes of swelling and thickening of the plantar fascia. While a stress fracture is a type of stress fracture, it is a form of injury that requires treatment differently than a plantar fasciitis. MRIs and foot x-rays are usually involved with the diagnosis. As heel spurs do not cause pain, they dont need to be removed. The procedure works by sending a mechanical sound wave to the affected tissue. Would you like email updates of new search results? Type II (29, 40.8%) had the highest incidence in Chinese population, followed with type I (24, 33.8%) and type III (18, 25.4%). Epub 2022 Jul 25. Treatment: Foot bursitis is a condition that involves inflammation and fluid buildup of the bursa sac. Type I, angle was less than 30 (a)., Feet MRI of three patients. tarsal fracture. Stress fractures of the calcaneus and inflammation of the plantar fascia ligament that is attached to the calcaneus are two of the most common causes of foot pain . Diagnostic ultrasound was found to be an effective diagnostic tool for the Epub 2013 Dec 11. Beth Gusenoff DPM, FACFAS. 8600 Rockville Pike 2. 2015 Jul-Aug;54(4):594-600. doi: 10.1053/j.jfas.2014.11.009. The technical storage or access that is used exclusively for statistical purposes. Options include ankle arthroscopy, ankle fusion, or ankle joint replacement. Stress Fractures - Heel That Pain Mar 19, 2018 Like Plantar Fasciitis, stress fractures are often caused by overly intense exercise, overuse, and high impact. She had been advised immobilization for 6 weeks, vitamin D and calcium supplements. Your foot may look purple. Imerci A, Incesu M, Bozoglan M, Canbek U, Ursavas HT. In some problematic cases, injections for plantar fasciitis are performed. Reviewed by a GP. Tinnart S . Both calcaneus MRI revealed bilateral stress fractures of calcaneum. Credit. X-rays of classification of PCS. Calcaneal insufficiency fractures; carbamazepine; heel pain; trigeminal neuralgia. (Pediatric Foot & Ankle sees and treats dozens of children every month for heel pain, and in the past 9 years have had only one case of pediatric plantar fasciitis. Not consenting or withdrawing consent, may adversely affect certain features and functions. FOIA See this image and copyright information in PMC. They may experience pain or inflammation after walking for a long time. Feet MRI of three patients. However, only a few people with plantar fasciitis do not suffer from heel spurs. Stress fractures are much more serious then Plantar Fasciitis Because they can lead to the bone fully breaking. Is it Plantar Fasciitis, Fat Pad Syndrome or , Calcaneus stress fracture: Signs, symptoms and YouTube, What Does A Stress Fracture In The Foot Feel Like? Apstol-Gonzlez S, Herrera J, Herrera I. Acta Ortop Mex. Final word from Sportdoctorlondon about a calcaneal stress fracture. The treatment your doctor will choose will be largely based on the chance of the bone breaking. This condition is often described as a stabbing pain underneath the arch or on the foots bottom near the heel. Instead, the foot condition that results in spur is the cause of the pain. Dr. Masci is a specialist sport doctor in London. It is invaluable not only to understand the relationship between different types of plantar calcaneal spurs and plantar fasciitis but also to identify the most appropriate treatment strategies. 3GFFIRS 11/28/2012 15:43:56 Page 2 3GFFIRS 11/28/2012 15:43:56 Page 1 T E NT H E DI T I ON BIOSTATISTICS A Foundation for Analysis in the Health Sciences 10 Site Credits ADD TO CART Remove . Small, jagged bone bumps are developed in response to lots of damage or trauma to the heel. Once this ligament continues to tear or get damaged for an extended period, a heel spur is created to provide extra support for the heel. Healthmark Foot and Ankle, Calcaneal Stress Fracture (Broken Heel Bone), Signs Youre Living With a Stress Fracture in Your Foot, Stress fractures associated with plantar fascia disruption, Case: Heel Pain from Plantar Fasciitis or Heel Stress Fracture , Stress Fractures of the Foot and Ankle OrthoInfo AAOS, Conditions Often Mistaken for Plantar Fasciitis ThoughtCo, Heel Pain & Heel Fractures | Foot & Ankle Specialists | Bellevue, Plantar Fasciitis and Other Causes of Heel Pain AAFP, Heel Pain. Although carbamazepine-induced stress fracture is a well-known entity and there are case reports in other bones such as the femoral neck, bilateral calcaneal insufficiency fractures is an extraordinary location. 4. 2 (d). government site. This site contains affiliate links to products. Carrying extra body weight puts additional stress on the heel pad. If you are unsure of whether you have a stress fracture, your health care provider can recommend a diagnosis. Disclaimer, National Library of Medicine This is different from Achilles Tendonitis, where the pain is on the back of the heel, or Plantar Fasciitis, where the pain is on the underside of the heel. The plantar fascia plays an important role in the normal biomechanics of the foot. Plantar fascias inflammation is known as plantar fasciitis. Only a few people who deal with heel spurs will have pain. Differential Diagnosis: Calcaneal stress fracture Stress fracture of the growth plate Neoplasm of the calcaneus Osteomyelitis. A plantar fasciitis stress fracture typically develops from a biomechanical fault. Kose O, Kilicaslan OF, Ozyurek S, Ince A. Epub 2015 May 4. There is evidence that ultrasound-guided injections work for plantar fasciitis. Increased pain after activity or exercise, Redness and swelling along the heel and arch, Sharp pain near the heel or bottom of the pain after rest or in the morning, Not stretching the calf, ankle, and foot before or after exercise, Sharp heel pain after rest or in the morning, A dull ache and discomfort in the heel and ankle throughout the day, Swelling and inflammation at the heels front, Tenderness at the heels bottom, making it difficult to walk barefoot, The rapid increase in physical activity levels, Being involved in an activity or sport with lots of jumping or running, Having abnormal walking patterns, high arches, or flat feet, Wearing shoes that lack proper support do not fit well or are worn out, Overuse of the foot, including walking, jumping, running, and exercising. Specific injuries that can lead to pes planus include fractures of the navicular, first metatarsal, or calcaneal bones, and/or trauma to the Lisfranc joint, plantar fascia, and deltoid/spring ligament. The important thing to remember is that plantar fasciitis usually leads to a heel spur. The main symptom of plantar fasciitis is pain when you walk or stand. She is doing well with full recovery from heel pain and trigeminal neuralgia at the end of one year. Does calcaneal spur need to be removal and how to remove it using arthroscopy? Type I, angle was less than 30, X-rays of classification of PCS. Unable to load your collection due to an error, Unable to load your delegates due to an error. both sides of the heel bone. Perforating Fat Injections for Chronic Plantar Fasciitis. A plantar fasciitis stress fracture is often the first symptom of calcaneal stress fracture. Stress Fracture of the Sesamoids. ; The fascia itself is important in providing support for the arch and providing shock absorption. Common conditions responsive to injection treatment: Acromioclavicular joint (AC joint) arthritis, Advanced lavage or barbotage for calcification of tendons, Patellofemoral joint osteoarthritis or anterior knee pain, Gluteus medius tendonitis or trochanteric bursitis, Pain and swelling after an ankle sprain or rolled ankle/ torn lateral ligaments, Os Trigonum: cause of pain at the back of the ankle, Thumb arthritis (1st carpometacarpal joint osteoarthritis). Hand-drawn diagram of classification of PCS. Pain may also be present when you are at rest or when you lie down. Ortop Traumatol Rehabil. It is invaluable not only to understand the relationship between different types of plantar Most of all of these cases prove to be Severs. s t Plantar Fasciitis Or Stress Fracture, Plantar Fasciitis vs. On the contrary, many studies have indicated that the calcaneal spur is one of the causes of plantar fasciitis. Imaging: MRI Indicated in severe refractory cases Findings Thickening of the proximal plantar fascia (to 7-8 mm) Plantar aponeurosis inflammation Reactive calcaneal marrow edema Middle or proximal fascial rupture XI. Do you want to know difference between Plantar Fasciitis vs Achilles Tendonitis, then read out this guide. PMC Unable to load your collection due to an error, Unable to load your delegates due to an error. Before the removal of PCS in patient no. MeSH Nonoperative. Over half of all stress fractures occur in the lower leg and ankle. Perforating Fat Injections for Chronic Plantar Fasciitis. The plantar fascia is a strong band between the heel and forefoot and helps support the ankle and foot arch. The site of the injury may also be sore and tender to the touch. Precise Location. Researchers had proved that type II was more likely to cause PF. Surgery vs. ankle injection We should only consider surgery when simple treatments and injection therapy fail. Typically, pain is worse in the morning or at the beginning of activity but tends to warm up. A total of 71 patients with calcaneal spurs were chosen from the Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University. The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user. Beth Gusenoff DPM, FACFAS. Not all heel pain is due to plantar fasciitis and may need different treatment. Do leave the pain unattended because it can lead to worse foot problems. WebStress fractures are common overuse injuries, and fractures of the calcaneus, or heel bone, are especially common in running athletes. Classification of Calcaneal Spurs and Their Relationship With Plantar Fasciitis. Read our editorial policy. Meanwhile, if the pain you experience is on the heels bottom, you probably have plantar fasciitis. We report here a 41-year-old lady suffering from bilateral heel pain without trauma history. Type I, angle was less than 30 (a). Generally, shockwave therapy is an effective treatment. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); PlantarFasciitisMD is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. What Happens If You Leave Toenail Fungus Untreated? Heel pain without traumatic event, objective findings of plantar fasciitis and calcaneal spur syndrome in an CBZ using patient insufficiency fracture of calcaneus should be remembered and evaluated rigorously. Hand-drawn diagram of classification of PCS. These sound waves stimulate the bodys healing response. Foot & Ankle International. Treatment. Calcaneal stress fracture: a cause of runners heel pain; Signs Youre Living With a Stress Fracture in Your Foot; A bursa is a small slippery fluid-filled sac; imagine a water balloon that forms over a joint to decrease friction and act as a lubricant between the bones and surrounding skin, muscles, ligaments, and tendons (or soft tissues for short). Please enable it to take advantage of the complete set of features! What is Foot Bursitis? The .gov means its official. WebStress fractures of calcaneus are uncommon cause of heel pain. Fortunately, most patients can recover in less than 10 months with non-surgical treatments. Diagnostic ultrasound allows for dynamic examination of foot and ankle pathology. The first thing to do if you think you have plantar fasciitis is to see a doctor and get your feet checked. They may experience a sharp, aching pain when they stand, or may be unable to bear any weight on their foot. government site. Please enable it to take advantage of the complete set of features! So, these two conditions are typically confused with each other because they are similar in some manners. According toresearch, one in six Americans may develop plantar fasciitis. When it does occur, however, it can cause pain in the heel or ankle. When its severe, it can be life-threatening if it does not receive medical attention quickly. Type III, angle was more than 60 (c). It is an uncommon bone to be affected by stress fracture. Bilateral calcaneal stress fractures: a case report. The authors declare that they have no competing interests. Plantar calcaneal enthesophytes occur at the calcaneal attachment point of the flexor digitorum brevis, a muscle that flexes the toes, and the abductor hallucis, a muscle that moves the big toe sideways away from the rest of the toes, according to the American Journal of Roentgenology 1.They also occur above the sturdy tissue that lines What is Plantar Fascia Release Technique? Carbamazepine for chronic neuropathic pain and fibromyalgia in adults. 2019 Feb 1;58(2):237-245. doi: 10.1093/rheumatology/key266. J Neurol Sci. Type III, angle was more than 60 (c). This condition is associated with the same stabbing sensation in the heel that often worsens in the morning. If you are interested in common non-surgical treatments for plantar fasciitis, you can check out our content aboutnight splintsor top picks for thebest flip-flops with arch support. healthmdsearch.com is a search engine, the content on the site has been added by users and is not controlled by us. doi: 10.1002/14651858.CD005451.pub3. This ligament connects the bones in the heel and toe. Melanocytes are found in equal numbers Catatonia and Catalepsy is a state of apparent unresponsiveness to external stimuli in a patient who appears to be awake. The main difference between the two conditions is the way they must be treated. CBZ has been stopped by neurology specialist and she had undergone microvascular decompression surgery for intractable pain of trigeminal neuralgia. In other words, a heel spur can develop as a result of plantar fasciitis. It can also result from a single injury. Injuries included plantar fasciitis, tibial stress fractures and patello-femoral pain syndrome; these were included because of the large treatment costs for these frequent injuries in New Zealand. Also, a simple insole for shoes is helpful to support the arch. Plantar fasciitis and calcaneal stress fractures both cause heel pain. 2014 Mar 15;338(1-2):43-5. doi: 10.1016/j.jns.2013.12.013. Upgrade to Patient Pro Medical Professional? Case report]. This pain will be present when you first step down in the morning. 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As a heel spur develops, it is rarely responsible for foot pain. Calcaneal and Cotton Osteotomies for Flatfoot Correction. Hello, and welcome to Protocol Entertainment, your guide to the business of the gaming and media industries. The most common misdiagnosis for childrens heel pain is plantar fasciitis. Treatment and Recovery, Why Do My Feet Get So Dry? The affected area may also have swelling and redness. The sesamoids are two small bones located in the ball of the foot, beneath the joint of the big toe. An official website of the United States government. The most common pathological factor in the population was plantar fasciitis. An official website of the United States government. The https:// ensures that you are connecting to the Calcaneal and Cotton Osteotomies for Flatfoot Correction. 1 (red arrow) and the PCS of patient no. Disclaimer, National Library of Medicine Chen MJ, Zhang WJ, Guo ZL, Zhang WH, Chai Y, Li YW. Calcaneal stress fractures cause pain and swelling in and around the heel, including the back of your foot just below the ankle. Generally, most cases of heel spur will improve with simple treatments such as rest, stretching, and foot strengthening exercises. Epub 2015 Mar 11. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. 3. A note from Cleveland Clinic. Dr. Bob Baravarian explained, Heel pain could stem from many causes: nerve pain, bursitis, stress fracture, bone bruise, bone cyst. ProPlantar Plantar Fasciitis Night Splint, ProPlantar Dorsal Adjustable Night Splint, Heel Stress Fracture vs Plantar Fasciitis. Usually, the pain appears gradually onset over weeks to months, although it occasionally presents suddenly. Calcaneal Apophysitis; Calcium Pyrophosphate Deposition (Pseudogout) Fracture - Foot; Fracture - Stress; Fractured Humerus; Fractures - Fibula; Fractures - Tibial; Plantar Fasciitis (Causes, Symptoms and Treatment) Plaque Psoriasis; Plasma The PCS of patient no. For challenging cases, a trial of an injection may help. The American Journal of Orthopedics. Small, jagged bone bumps are developed in response to lots of damage or trauma to the heel. Calcaneal Insufficiency Fracture Secondary to Celiac Disease-Induced Osteomalacia: A Rare Cause of Heel Pain. 2022 Plantar Fasciitis MD All Rights Reserved. Epub 2017 Mar 29. After surgery, all patients were followed up for 12 months; their prognosis was tested by the VAS and AOFAS scores. The calcaneus is a short bone, a type of bone meaning that it is about as long as it is wide. Get 15% OFF on a lightweight, breathable, and easy-to-use night splint that is suitable for all foot adult foot sizes. Symptoms of plantar fasciitis are usually felt in the heel and arch. Astudysuggests that 50 percent of patients suffering from plantar fasciitis also deal with heel spurs. This pain will be present when you first step down in the morning. doi: 10.1177/1071100718773998. Ronald Guberman DPM, DABFAS. Bethesda, MD 20894, Web Policies Stress fractures could be seen in risc groups such as metabolic diseases/medications causing poor bone quality and exposing repetitive microtrauma. For example, wearing shoes with poor cushioning may cause pain while walking or resting. 2018;39(9):10391046. Anti-epileptic drug (AED) use is related with poor bone quality and increased fracture risc. Plantar Fasciitis vs. Type II, angle was from 30 to 60 (b). Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you. Ultrasound also excludes other conditions that mimic plantar fasciitis, such as plantar fibroma. Plantar fasciitis is the result of collagen degeneration of the plantar fascia at the origin, the calcaneal tuberosity of the heel as well as the surrounding perifascial structures.. For stubborn cases, shockwave therapy is beneficial. 2014 Mar-Apr;28(2):134-6. We may receive a commission for purchases made through these links. Postoperative AOFAS scores of type II were the lowest (P < 0.001). 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