Plantar fasciitis is a common foot condition which affects 10% of the population some time in their lives. It results in pain and tenderness on the bottom side of the foot which is worse in the morning and is better as one moves around. It typically return after periods of sitting or standing.
Anatomy
- The plantar fascia is a thick band of connective tissue from the heel (calcaneus) to the heads of the metatarsals bones in the fore foot
- It provides support to the arch of the foot
- Involved in the dynamic function of gait
- The fascia can become inflamed
Predisposing Activities
- Long distance running
- Shoes with inadequate support
- Frequently wearing high heels
- Barefoot walking
- Ballet dancing
- Aerobics
- Abnormal walking pattern
- Prolonged standing on hard surfaces
- Obesity
- Pregnancy
Predisposing Congenital Structures
- Flat-footed
- High Arches
- Over-pronation
Treatment Options
- In acute stages: Try to avoid activities that cause pain and swelling just for the first 24-48 hours- substitute with low impact activities
- Address any predisposing activities or congenital structures. The use of generic and custom orthotics
- Ice: 15-20 minutes at a time, 2-3 times per day
- Diagnose particular muscular imbalance
- Strengthen muscles: intrinsic foot muscles, lower back core stabilizers
- Stretch tight muscles: calves, plantar fascia, hip flexors
- Address any abnormal gait issues
- Soft Tissue Treatments
- Practitioner delivered Myofascial Release: hands on techniques
- Self-delivered myofascial release: tennis ball and/or frozen bottle
- Joint Mobilization/Manipulation: release abnormal/restricted joints
- Medications
- Non-steroidal anti-inflammatory drugs (NSAID’s)
- Corticosteroids: injection or oral
- Surgery
Carone Chiropractic Center is very well versed on using the conservative options available while working in collaboration with your medical doctor.