Plantar Fasciitis Explained
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.
Plantar fasciitis Classification and external resources. Plantar fasciitis PF is a painful inflammatory process of the plantar fascia, the connective tissue on the sole bottom surface of the foot. It is often caused by overuse of the plantar fascia or arch tendon of the foot. The plantar fascia is a thick fibrous band of connective tissue originating on the bottom surface of the calcareous heel bone and extending along the sole of the foot towards the toes. A symptom commonly recognized among sufferers of plantar fasciitis is an increased probability of knee pains, especially among runners.
Is a foot condition usually felt as pain in the bottom of your foot around the heel. There are about 2 million new cases of this condition reported every year in the USA only. That pain especially hurts first thing in the morning when you try to stand on your feet, or after sitting for awhile. This pain is caused by an injury of the fascia connective tissue at the bottom of the foot. This tissue is called the plantar fascia and it connects the heel bone to the toes. Usually this injury is caused by overload of the foot.
Plantar Fasciitis is a serious, painful, and progressing illness that occurs when the long, flat ligament along the bottom of the foot develops tears and inflammation. Serious cases of plantar fasciitis can possibly lead to ruptures in the ligament. This ligament is called the plantar fascia and it extends your five toes and runs along the bottom of your foot, attaching to your heel. When you walk or run, you land on your heel and raise yourself on your toes as you shift your weight to your other foot, causing all your weight to be held up by your plantar fascia.
The fit of a shoe is important. Wearing small shoes can aggravate plantar fasciitis. When shopping for shoes or trying on shoes that have been bought and delivered on the internet, patients should do so in the afternoon or evening. This is because as the day progresses, feet swell and become slightly bigger than in the morning. Also, it is common for one foot to be slightly larger than the other. If this is the case, patients should check the fit based on how the larger foot feels. Shoes are better slightly too large (on the smaller foot) than vice versa.
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.
Itis" normally relates to the inflaming of a definite part of the body, so Bursitis refers to the sustained irritation of the natural cushion that holds the heel of the foot or the bursa. Plantar bursitis is oftentimes linked with Plantar Fasciitis which affects the arch and heel of the foot. Plantar Fasciitis is caused by inflammation of the tissues associated to the heel bone, anticipated to radical pulls and stretches of the fibrous bands that support the arch of the foot. Prolongation of this irritation can lead to heel pain, arch pain or a bony growth on the bottom of the heel bone called a "heel spur".
Diagnostic testing is rarely indicated for the initial evaluation and treatment of plantar fasciitis. Plantar fasciitis is often called “heel spurs,” although this terminology is somewhat of a misnomer because 15 to 25 percent of the general population without symptoms have heel spurs and many symptomatic individuals do not. 2 Heel spurs are bony osteophytes that can be visualized on the anterior calcaneus on radiography. However, diagnostic testing is indicated in cases of atypical plantar fasciitis, in patients with heel pain that is suspicious for other causes ( Table 1 ) or in patients who are not responding to appropriate treatment.
Should all other attempts to resolve Plantar Fasciitis prove unsuccessful, surgery or corticosteroid injections may be indicated. Corticosteroid injections can be helpful in the short- term for pain relief. Unfortunately the fundamental problem is not addressed and therefore recurrence rates can be quite high. There are a number of different options for surgical intervention, each with varying results. Options for surgical intervention include the Topaz procedure, Plantar Fascia release procedure, and ultrasound guided needle fasciotomy. Surgery is typically a last-ditch effort to correct for Plantar Fasciitis The more invasive surgeries run the risk of nerve damage and infection. Surgery should only be considered after all conservative measures have been exhausted.
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.