
Plantar fasciitis is inflammation of the tissue on the bottom of the foot.
The plantar fascia extends from the medial aspect of the calcaneus (heel) to the base of the toes.
The plantar fascia provides structural reinforcement for the foot by maintaining its arch. It also remains elastic enough to allow your foot to move through its normal range of motion.
Irritation to the fascia occurs in several different ways.
Over-exercising, trauma to the foot, standing on your feet too long without rest periods, having a heel spur, being overweight, and wearing poor-fitting footwear can all inflame the plantar fascia. Being “flat-footed,” or over-pronation, can also be a contributing factor.
Most often, the primary symptom is pain located at or near the center of the heel (although the pain can present almost anywhere on the sole of the foot). This pain tends to be worse in the mornings, during the first steps taken. The pain usually increases after long periods of walking or running as well.
Treatment options vary from person to person, depending on the cause. Usually, the initial conservative recommendation is to use a night splint. During sleep, the feet normally point downwards (plantar flexion), allowing the plantar fascia to contract, or shorten. Night splints prevent this contraction by keeping the ankle and foot angled in a more neutral position throughout the night.
If over-pronation is a factor, custom foot orthotics may be recommended. . However, we have found that over-the-counter supports such as those made by Spenco, work well. Heel-pad supports can be added to the shoes for extra comfort throughout the day.
Ultrasound therapy can help reduce inflammation. Deep tissue and cross-friction massages release scar tissue, break up fibrous adhesions, increase blood flow, and speed up the healing process. Specific stretches and exercises can be performed to improve the condition. As the symptoms resolve, rehabilitation progresses toward more functional activities, such as walking and running.
If you would like more information, feel free to call (304-840-2820) or stop by the office. No appointments are necessary, and consultations are free. You can also email me at DocLeviChiropractic@yahoo.com.
Yours in Health,
Dr. Levi G. Merritt, D.C., CPT, CHC
Comentarios