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Plantar Fasciitis Treatment

Treatment for plantar fasciitis

If your first steps in the morning cause a sharp pain in your heel, you may have plantar fasciitis. This inflammation of the plantar fascia, the tissue that connects the heel with the toes, is very common, especially for runners. That’s why it’s very important to wear the best shoe for plantars fasciitis.

With proper treatment, this condition usually goes away in several months. To speed up your recovery and rule out other injuries, you may want to see your doctor.

Diagnosis

Your doctor will examine your foot to determine where the pain comes from. This test, along with your medical history, will help you diagnose the condition.

Your doctor may also order imaging tests so you can rule out another cause of pain. This could be something like a broken bone or a pinched nerve.

Treatment

There are some options that your doctor may try to relieve your pain and reduce inflammation in your foot. I might even recommend you try some therapies at the same time. These include:

Medication Nonsteroidal anti-inflammatory drugs (NSAIDs) will help you with your pain and reduce inflammation of the plantar fascia. Your doctor may prescribe multiple doses per day for several weeks. Steroid injection If your pain is severe or does not respond to prescribed NSAIDs, you may want to think about receiving a steroid injection.

The steroid is injected into the most painful part of the plantar fascia. It will help relieve your pain for about a month, but it will keep the inflammation low for longer than that.

Physical therapy

If medication, rest, and ice do not help enough, your doctor may recommend you go to a physical therapist.

You will learn exercises to stretch and strengthen the plantar fascia, the Achilles tendon, and the leg muscles.

 Your physical therapist can also use massages, contrast baths, or ultrasonography to help with long-term healing.

If you do not show progress after several months, your doctor may recommend a more complicated procedure or even surgery. These options include:

Shockwave therapy

This literally “shocks” your plantar fascia with sound waves. Stimulates blood flow in the foot and helps the tissue heal. It also stuns the nerves to stop the pain.

Plantar fasciitis is a common cause of heel pain in adults. 

The disorder classically presents with pain that is particularly severe with the first steps taken in the morning. In general, plantar fasciitis is a self-limited condition. However, symptoms usually resolve more quickly when the interval between the onset of symptoms and the beginning of treatment is shorter.

 There are many treatment options, including rest, stretching, strengthening, changing shoes, arch supports, orthopedic insoles, night splints, anti-inflammatory agents, and surgery. In general, plantar fasciitis can be treated successfully by adapting the treatment to a person’s risk factors and preferences.

Plantar fasciitis is a common cause of heel pain in adults. The pain is usually caused by the degeneration of the collagen (which sometimes receives the wrong name of “chronic inflammation”) at the origin of the plantar fascia in the medial calcaneal tubercle. 

This degeneration is similar to the chronic necrosis of tendinosis, which presents loss of continuity of the collagen, increase of the fundamental substance (matrix of the connective tissue) and vascularity, and presence of fibroblasts instead of the inflammatory cells that are usually observed with the Acute inflammation of tendinitis.1 The cause of degeneration is the repetitive microtears of the plantar fascia that exceed the body’s ability to repair itself.

The classic sign of plantar fasciitis is that the worst pain occurs with the first steps of the morning, but not all patients will have this symptom. Patients often notice pain at the beginning of the activity that decreases or resolves as they get hot. Pain can also occur with prolonged stay and is sometimes accompanied by stiffness. In more severe cases, the pain will also get worse towards the end of the day.

The plantar fascia is a thickened fibrous aponeurosis that originates in the medial tubercle of the calcaneus and advances to form the longitudinal arch of the foot. The function of the plantar fascia is to provide static support of the longitudinal arch and dynamic shock absorption. People with flat feet (low arches or flat feet) or pes Cavo (high arches) have a higher risk of developing plantar fasciitis.

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