Plantar Fasciitis & Back Pain


Plantar fasciitis means inflammation of your plantar fascia Your plantar fascia is a physically powerful band of tissue like a muscle that stretches from your heel to your focus foot bones. It supports the arch of your foot and too acts as a shock absorber in your foot. Plantar fasciitis is common. About 1 in 10 people will find plantar fasciitis at some time in their life. It is the majority common in people between the ages of 40 to 60 years. However, it can happen at any age. It is twice as frequent in women as men. It is too common in athletes.

The pain from plantar fasciitis is described as being dull, aching or sharp (all three for me) and can usually be reproduced by flexing the toes upwards and tensing the fascia. Plantar fasciitis also tends to worsen after standing or exercising for prolonged periods or after getting out of bed in the morning. Morning heel pain from plantar fasciitis is one of the most common symptoms and occurs because the fascia becomes tense after a protracted rest. As the person walks, the fascia "warms up" and lengthens slightly, reducing the tension on the ligament and lessening pain.

The repetitive stress of certain conditions or activities commonly leads to plantar fasciitis. Repetitive pressure on the feet from jobs or activities that require prolonged walking or standing on hard on irregular surfaces - or running and exercise - can also lead to wear and tear on the plantar fascia. Aggravating factors, such as being overweight or having poorly cushioned shoes can also add to the cause of plantar fasciitis. The natural aging process (whoopee for me) may also cause tissue in the heels to weaken over time and/or promote wear and tear.

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.

Icing your heel will decrease inflammation that accumulates while you walk during the day, and to prevent more inflammation while you sleep. Apply ice to the sore area for 20 minutes two or three times a day to relieve your symptoms. Do not go barefoot or wear flip-flops. Only wear shoes with a moderate heel that do not bend through the arch. Always wear shoes when walking, even in the home. If you have custom orthotics, or over-the-counter inserts, wear them in your shoes at all times. The majority of people with plantar fasciitis improve tremendously after just two months of initial treatment.plantar fasciitis taping

The best way to get rid of your pain is to get your plantar fascia stretched out. When the fascia lengthens it won't pull on your heel and you won't get so much pain. To do this you need to find a Chiropractic Physician or someone with extensive knowledge of the fascia to work on your foot. This procedure is extremely effective but also can be quite painful. It requires the practitioner to push into your fascia with their fingers and manually stretch out your fascia. It normally takes one treatment but may require more.

If your foot pain does not respond within a reasonable amount of time to noninvasive treatments, your podiatrist may suggest other options, such as corticosteroid injections, extracorporeal shock wave therapy and iontophoresis. Extracorporeal shock wave therapy is thought to stimulate your plantar fascia tissue to accelerate its healing. Iontophoresis uses low-level electrical stimulation to push corticosteroid ointment into the soft tissues of your foot. You may be referred to a surgeon for a plantar fasciotomy, an operation in which part of your plantar fascia is cut away from your heel. The connective tissue then regrows, creating a longer plantar fascia. References

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.

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.

For more severe cases, surgery and other advanced treatments are often necessary. One example is the shock wave therapy. Here, the doctor needs to make use of sound waves to stimulate the affected area and treat it. This is often used for cases that have not received good results from conventional treatments mentioned earlier. The problem is that shock wave therapy often causes bruises and temporary pain. Surgery is the last resort. During surgery, doctors will have to remove or detach the never connecting the foot to the toes. This is necessary when the pain is almost unbearable already. plantar fasciitis shoes

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