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Mar/11/2014 - 09:17:33 pm

Plantar Fasciitis


There are a number of methods which can be used to reduce the pain from plantar fasciitis. Treating plantar fasciitis usually involves medication to ease the pain. This is most commonly anti-inflammatory drugs (NSAID's) which are helpful in alleviating pain as well as reducing inflammation. Sometimes corticosteroids may be administered either topically or by injection into the plantar fascia directly, although this is usually reserved for only the most severe cases. Extracorporeal shock wave therapy (ESWT) can be used to good effect, with the treatment using painless sound waves to help the healing process.

Plantar fasciitis occurs often in runners and other athletes. Plantar fasciitis is the most frequent cause of plantar (bottom of the foot) heel pain. For many years pain in this region has been incorrectly termed the "heel spur syndrome". It is better termed the "plantar heel pain syndrome" since a heel spur is not always found at this location. While a "heel spur" sounds ominous often the spur is present and does not cause any pain. The formation of a spur is a sign that too much tension has developed within the plantar fascia, partially tearing from its origin at the calcaneus (heel bone).

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.

While structural foot abnormalities such as high arches or fallen arches can make one more susceptible to plantar fasciitis, wearing old worn-out shoes can also cause stress to the plantar fascia. Wearing high-heeled shoes can also stretch the ligament beyond the tolerable limits and cause inflammation. Those suffering from plantar fasciitis are also at an increased risk of developing heel spurs. Heel spurs, also known as osteophytes, are abnormal bony outgrowths that may develop along the edges of the heel bone. Heel spurs form when the plantar fascia starts pulling at the heel bone or gets torn due to excessive stress.

For runners, the plantar fascia may become inflamed after a period of running hilly courses or running in excessively worn shoes or the wrong type of shoe for your foot type. Once this happens, a cycle of inflammation ensues. There is a nerve (called the medial calcaneal nerve) that runs along on the inside of the heel bone and actually curves down around the bottom of the heel between the bone and the plantar fascia. As you walk and place stress on the plantar fascia, the tugging of this ligament where it attaches to the heel bone stimulates inflammation. This causes the sharp pain. plantar fasciitis exercises

Some people with normal arches or high arches get heel pain and plantar fasciitis as well. This is usually caused by muscle imbalances in the foot or lower leg. Some people have normal arches while standing but when they stand their arches fall. Either way, the first solution is to get custom orthotic inserts made for your shoes. This doesn't mean the cheap ones you get at a pharmacy. You need to find someone who makes custom orthotic inserts that can be made specific for your feet. These can cost from $75 to $300. This is expensive but can be very effective.

When the plantar fascia, or the thick tissue in the bottom of the foot that connects the heel to the toes, becomes overstretched, it becomes inflamed. This condition is known as plantar fasciitis. This inflammation makes it difficult to walk and perform certain movements of the foot. It may be caused by shoes with poor support; sudden weight gain; long distance running, especially downhill or on uneven surfaces; or a tight Achilles tendon. People whose feet have a high arch or are flat footed are also prone to plantar fasciitis. You Might Also Like Symptoms.

In general, plantar fasciitis is a self-limiting condition. Unfortunately, the time until resolution is often six to 18 months, which can lead to frustration for patients and physicians. Rest was cited by 25 percent of patients with plantar fasciitis in one study as the treatment that worked best. 3 Athletes, active adults and persons whose occupations require lots of walking may not be compliant if instructed to stop all activity. Many sports medicine physicians have found that outlining a plan of “relative rest” that substitutes alternative forms of activity for activities that aggravate the symptoms will increase the chance of compliance with the treatment plan. 4

Patients try various remedies for the treatment of plantar fasciitis. Surgery is only the last option. PF insoles are proven to work for several people. Insole treatment is now considered a long-lasting solution to PF and various other foot related problems. Insoles very gently reposition your feet by acting on the arches. A good arch support is fitted inside your shoe according to a prescribed plan of use recommended by your podiatrist. Over a period of time, the arch supports become gentler which helps in the healing process. With the progression of the therapy, the focus is on maintaining the right alignment instead of changing it.

Plantar fasciitis is usually treated with medications. The most popular one is painkiller that includes ibuprofen and naproxen. Another one is the corticosteroid which can either be applied topically or injected on the affected area. Therapy is also a popular cure because it is non-invasive and generally risk free. Physical therapy is helpful because it helps in relieving the pain and at the same time helps in strengthening the muscles of the feet. It can cure twisted plantar fascia nerve and can bring back its natural condition. Night splints are also helpful because they help in aggravating the situation. plantar fasciitis shoes
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