Dr. Pribut On Plantar Fasciitis And Heel Pain In Runners
Plantar fasciitis is a foot disorder usually felt as heel pain. There are more than 2 million new patients of this condition reported each year in the USA only. That pain is felt especially when taking the first steps in the morning or after spending some time sitting. The reason for this pain is an damage to 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 damage is caused by overload of the foot.
The mechanical structure of your feet and the manner in which the different segments of your feet are linked together and joined with your legs has a major impact on their function and on the development of mechanically caused problems. Merely having "flat feet" won't take the spring out of your step, but having badly functioning feet with poor bone alignment will adversely affect the muscles, ligaments, and tendons and can create a variety of aches and pains. Excess pronation can cause the arch of your foot to stretch excessively with each step. This "hypermobility" may cause other bones to shift and cause other mechanically induced problems.
Arch plantar fasciitis taping does not stretch out the plantar ligament, but supports it as it runs underneath the foot arch. This treatment for plantar fasciitis can be a little tricky to do for yourself because you tape from the outside of the foot towards the inside flexing the big toe joint to create a high arch as you do so. Full foot plantar fasciitis taping is done by separately covering the ball of the foot and the heel with tape and then connecting the heel to the toes using a criss-cross taping pattern until the whole sole of the foot is covered.
Plantar fasciitis usually causes a sharp, stabbing pain on the inside of the bottom of the heel that can feel like an ice pick jabbing into your heel. Pain from plantar fasciitis is usually most severe when you first stand on your feet in the morning. Many people complain that the first step out of bed is the worst. Many also have pain as they get up and start to walk after sitting for a period of time while working at a desk or computer. This heel pain will usually subside as you walk, but can return with prolonged standing, walking or running.
Here are some plantar fasciitis exercises that are quite helpful. Stretch your calf before getting out of bed, but do it gently. Pull your toes up with your hand till you feel a stretch along the ball of your foot to your heel for couple of times for about thirty seconds. Do exercises that stretch your lower leg muscles. Get someone to massage the tissues at the bottom of your foot. Another alternative is to roll a tennis ball gently under the hurting foot. A frozen water bottle is a good replacement for tennis ball to control inflammation.
Foot Orthotics , is the only non-surgical therapy to have been supported by studies rated by the Center for Evidence-Based Medicine as being of high quality. Landorf et al. performed a single-blind experiment in which patients were randomly assigned to receive off-the-shelf orthotics, personally customized orthotics, or sham orthotics made of soft, thin foam. Patients receiving real orthotics showed statistically significant short-term improvements in functionality compared to those receiving the sham treatment. There was no statistically significant reduction in pain, and there was no long-term effect when the patients were re-evaluated after 12 months.
In the Journal of Foot and Ankle Surgery, Rodney Tomczak lists several complications of the surgery due to damage of nearby structures. Nerves that supply sensation to the bottom of the foot can be cut, producing numbness. The cut nerve ends may form painful neuromas as they try to heal. Incisions, especially on the bottom of the foot, can heal with excess scar tissue or keloids. This produces pain with walking and shoe wearing. After bone spurs are removed, the calcaneus, or heelbone, may become weak and fracture. You Might Also Like Lateral Column Pain
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
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.
If you happen to strain or even injure your Plantar Fascia, you will know due to the fact Plantar Fasciitis is an extremely painful affliction of the feet. The Plantar Fascia is the muscle that runs from the heel to the ball of the foot. When this muscle is over-stressed or possibly been injured, when you first try to get out of bed each morning you will experience a new volume of pain. When you were lying down, the torn muscles have already contracted and when you attempt to walk after waking up, they get stretched suddenly.