Tue

11

Mar

2014

Plantar Fasciitis Treatment


The main symptom of plantar fasciitis is the feeling of acute pain in the inner side of the heel. If an intense pain is felt in the heel on taking the first few steps in the morning, then it is most likely a case of plantar fasciitis The pain eases as the day progresses because the plantar fascia gradually stretches due to warming up of the feet. Sometimes, the pain may start as a dull pain in the heel and the arch and may later accentuate to a sharp, persisting pain. Patients suffering from plantar fasciitis may also find climbing stairs or walking on the toes very painful.

Tears of the plantar fascia are a less commonly found injury than either a heel spur or plantar fasciitis. They usually involve larger and more abrupt forces than the forces which allow for plantar fasciitis to develop. High speed activity develop these forces more often. The force needs to be applied to the ball of the foot. Sprinting places the foot in a position in which this could happen. Soft shoes that bend in the arch may contribute. Plantar fascia tears may also occur in baseball or softball players when sliding in to a base with the foot making contact with the base.

Is there a difference between Plantar Fasciitis and heel spurs? While there is a difference between the two conditions, they are related. Plantar fasciitis is a condition where the thick tissue on the bottom or your foot becomes irritated and swollen. Plantar Fasciitis means inflammation of your plantar fascia. The plantar fascia is tissue that holds up the bones on the bottom of your foot. When you have this condition you usually feel pain in the bottom or your heel. This may be due to arch problems. When your plantar fascia pulls away from the heel, calcium deposits can form there.

Stretches - Opt for plantar fasciitis stretches for your calf muscles. They help in relaxing the muscles, easing the pain and also in quick recovery. The exercise is very simple. You just need to stand facing a wall. Lean on the wall with the help of your hands with the palms resting on the wall. Place one leg in front and bend the knee. Ensure that you do not put any weight on this leg. Let the other leg be straight with the heel touching the floor. Now, move your hips towards the wall till you feel a stretch.

The plantar fascia is located on the underside of your foot. It is a connective tissue that runs along the arch of the foot from the heel to the bones on the ball of the foot. The plantar fascia stabilizes your toes and absorbs shock for your legs. The American Council on Exercise states that impact activities such as running, aerobics and plyometrics can irritate and inflame the plantar fascia. Plantar fasciitis is associated with pain originating at the heel and running the length of the bottom of the foot. Pain is usually most prevalent in the morning when you wake up and begin walking. plantar fasciitis shoes

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.

The two muscles that we call the calves (Gastrocnemius and Soleus) attach to the heel via the Achilles Tendon. The Achilles Tendon wraps over the heel bone where it then becomes the Plantar Fascia. The Plantar fascia stretches across the bottom of the foot to the base of your toes. While we may think of these muscles and tendons as separate tissue structures , you can see by the picture that these structures are not separate They are one continuous fascial tissue structure. So you can imagine that tension in one will affect each of the others.

Strengthening programs should focus on intrinsic muscles of the foot. Exercises used include towel curls and toe taps. Exercises such as picking up marbles and coins with the toes are also useful. To do a towel curl, the patient sits with the foot flat on the end of a towel placed on a smooth surface. Keeping the heel on the floor, the towel is pulled toward the body by curling the towel with the toes. Next, the process is reversed, and the outside four toes are repetitively tapped to the floor while keeping the big toe in the air.

Why is this exercise valuable? The muscles of the feet require good strength to control the forces associated with landing on the ground during the running stride. This toe-walking exercise helps to develop the eccentric (support) strength and mobility in the muscles of the foot and calf, as well as the plantar fascia and Achilles tendon (eccentric strength means hardiness as these structures are being stretched out). The exercise also works the foot and ankle through a broad range of motion, especially for the foot which is bearing weight on the ball and toes while the ankle is extended (is in plantar flexion).

Plantar Fasciitis is the most common cause of heel pain in adults in the United States. Also, plantar fasciitis can lead to a much more serious condition called a heel spur, where the front and bottom of the heel have an extra bone growth, which leads to serious pain while walking. Many people can confuse these two because they are so closely related. Plantar fasciitis can especially lead the heel spurs, but not the other way around. The only way to determine if you have a heel spur, is through an x-ray or some sort of imaging technique that a doctor would use.plantar fasciitis surgery

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