Plantar Fasciitis Treatment


Treatment for plantar fasciitis should begin with rest, icing, and over the counter medications. As mentioned above, an orthotic is a device that can be slipped into any pair of shoes and can often relieve pain and help to reverse the damage and occurrence of plantar fasciitis. They do this by adding support to the heel and helping to distribute weight during movement. In addition to orthotics, many people consider night splints for treating this condition. These devices are worn during the night while you sleep, helping to keep the plantar fascia stretched to promote healing. Physical therapy has also become a common option.

The tear usually happens further forward than where the pain of plantar fasciitis usually occurs. It is often found 2 to 4 centimeters in front of the attachment of the plantar fascia into the calcaneus (heel bone). The patient will often recall feeling or hearing a "pop". When examined there may be pain when the toes are passively bent upwards (dorsiflexed). The usual treatment for this injury is non-weight bearing for 1 - 3 weeks in a cast and total casting for about 4 - 6 weeks. Full recovery will take 7 to 12 weeks. Nerve Entrapment

Normally the Plantar Fascia is very tough and flexible to withstand forces transmitted during walking or running. The normal function can be however affected by excessive abuse of the feet, over-pronation, old age or being over-weight. As a result of the painful stretching the Plantar Fascia exhibits micro-tearing that leads to irritation, inflammation and pain at the junction of the Plantar Fascia and calcaneus or heel bone. The continued pulling of the Fascia joined to the heel bone can result in a bony growth on the heel commonly known as a Heel Spur. This growth triggers pain in the surrounding tissues that get inflamed.

Plantar fasciosis is a foot condition characterized by heel pain and pain in your plantar fascia—a strong and dense connective tissue structure on the sole of your foot that supports your foot arch. This condition has historically been called plantar fasciitis because it was believed that plantar fascia inflammation was the principle underlying cause. Plantar fasciosis is a more accurate name for this condition because it involves degeneration—microtears, cell death—of your plantar fascia, not inflammation. See YouTube Video - Plantar Fasciitis or Fasciosis? Active men between the ages of 40 and 70 are most commonly affected by this health problem.

Because of the change in the adaptability of the plantar fascia over time, people who are middle aged or over are most likely to suffer with the condition. Similarly, anyone who over pronates or follows an intensive exercise routine, such as an athlete, is likely to get the condition. And anyone who is overweight for any reason at all (and that includes pregnancy) will also put undue stress on the plantar fascia at the point of the foot arch, making them susceptible to plantar fasciitis too. The condition significantly improves following weight loss, which explains why women often experience a total cure from their plantar fasciitis once they give birth.plantar fasciitis exercises

The best way to get rid of your pain is to get your plantar fascia stretched out. When the fascia lengthens it won't pull on your heel and you won't get so much pain. To do this you need to find a Chiropractic Physician or someone with extensive knowledge of the fascia to work on your foot. This procedure is extremely effective but also can be quite painful. It requires the practitioner to push into your fascia with their fingers and manually stretch out your fascia. It normally takes one treatment but may require more.

The foot is a very unique mechanical structure. Each foot is assembled from 26 bones, 33 joints, more than a 100 muscles, ligaments, tendons and nerves. The human foot system is even more sophisticated and is a little bit different in every individual. The plantar fascia ligament part in the foot mechanism is to keep the foot longitudinal arch structure. It operates more or less like a bow string. But this structure is held also by the other parts of the foot particularly the foot's small muscles. If you exercise your feet this whole structure will get stronger.

Why is this stretch valuable? Tight hamstring muscles (which cross both the knee and hip joints on the back of the leg) can lead to limited extension and exaggerated flexion of the knee during the running stride (they tend to pull the lower part of the leg backward). This over-flexion at the knee actually increases the amount of dorsiflexion at the ankle during the landing phase of the running stride (remember that the entire leg functions as a kinetic chain; change one thing, in this case hamstring flexibility, and that change will 'ripple' right down the leg to the ankle joint).

Shoe modifications are also important. Wearing the proper shoe and in some cases in combination with a custom orthotics helps to cushion and support the foot and keep the plantar fascia supported to stop excessive strain on the foot. Custom orthotic devices are custom molded to your foot and prevent any biomechanical defects with your foot to help aid in recovery and prevent future recurrences. Night splints are also used at night to keep the plantar fascia stretched to reduce morning pain associated with this condition. Injection therapy can be combined with the above modalities.

You need to be pro-active with this disease, and a great first step is to become acquainted with its symptoms. Because a few of the signs of this condition could be mild, they may pass by undetected. An important part of your observation should include examining your heels for any sensitivity in addition to checking your arches to ascertain if they are high or flat. Pay close attention to the nature of the pain you are experiencing. Is it constant, or does it begin after you take your first steps in the morning? plantar fasciitis shoes
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