Tag Archive for: Plantar fasciitis

What Plantar Fasciitis Is and How to Treat It

Ouch! Have you been experiencing a shooting or stabbing pain in one or both heels upon stepping out of bed or after long periods of sitting? You may be suffering from plantar fasciitis. Plantar fasciitis is the most common cause of heel pain and, if left untreated, often becomes much worse. 

What Plantar Fasciitis Is

What Plantar Fasciitis Is

Plantar fasciitis is inflammation of the plantar fascia that encases the ligament which spans the sole of your foot, connecting the heel of your foot to the base of your toes. It is caused by small tears that occur in the plantar fascia as a result of repeated foot strain. It’s the most common cause of heel pain and tends to be progressive unless treated. 

Plantar fasciitis sufferers experience what is typically described as being an acute, stabbing pain in their heels. The pain tends to be worse in the mornings or after long periods of sitting or resting. 

What Causes it

Plantar fasciitis is caused by repetitive strain to the soles of the feet. It is a common ailment suffered by individuals with occupational or athletic activities that place a lot of tension and stress on their feet. It can also result from improper foot dynamics from overly high or flat arches, unsuitable footwear, or an imbalanced gait, and is a common occurrence for:

  • People whose occupation requires them to spend long periods on their feet (ie: nurses, factory workers, hair stylists and clerks). 
  • Runners, dancers and individuals who partake in activities that place excess strain on their feet. 
  • Individuals between the ages of 40 – 60 (most commonly). 
  • Anyone carrying excess weight. 
  • People with gait issues or suboptimal foot dynamics. 

A Word of Warning About Footwear

 

The Importance of Proper Footwear

Walking barefoot and sporting flip-flops may be part of island living during the summer months, but should be avoided by those who are prone to foot strain. It’s also pertinent that runners and other athletes replace worn-out athletic shoes and ensure their footwear offers adequate arch support, cushioning and shock absorption that’s based on proper foot ergonomics and according to their sport. 

Plantar Fasciitis Treatment

It’s best to treat plantar fasciitis at the early onset of symptoms. People who ignore symptoms often unknowingly adjust their walking patterns in efforts to partially relieve pain, resulting in undue strain and injury to other areas of the body including the knees, hip and back. This is why prompt treatment is prudent. 

Plantar Fasciitis treatment often combines physiotherapy, massage therapy, gait analysis and custom orthotics to relieve pain and tension and prevent further foot strain. Treatment may include recommendations for icing, rest and the short-term use of over the counter pain-killers as needed.

The good news is that with proper treatment and new preventative measures, plantar fasciitis symptoms can be relieved and sufferers can often comfortably return to the activities they enjoy. 

If You Suspect You Have Plantar Fasciitis or Are Concerned About Foot Strain:

Contact Diversified Health Clinic today to book an appointment, or for more information on the treatment options we provide, including our innovative GaitScan Analysis. Our integrated approach and amenities empower our practitioners to provide you with treatment options that are custom-tailored to your specific needs. We also offer direct billing and weekend appointments.

Plantar fasciitis can be a painful condition caused by overuse of the arch tendon (plantar fascia) of the foot.

The most common cause of plantar fasciitis is a tight calf muscle which leads to persistent pronation of the foot, which over stretches the arch tendon, and can lead to possible inflammation, thickening of the tendon, and further injury.

Strenuous activities such as running or excessive walking in footwear that does not provide the proper support can make you more at risk, causing additional stretching of the plantar fascia. Being overweight can also be a factor and place you at risk due to the excess weight impacting on the foot.

A Chiropractor or Physiotherapist can provide treatment for this type of foot injury.

Home Treatments can consist of:

  • Resting your feet
  • Reduce inflammation
  • Wear proper fitted shoes, with a good arch support
  • Wear orthotics
  • Wear slippers, slip-on’s, or any type of foot wear that has a an arch support at all times

Clinical Treatments can consist of:

A healthcare practitioner can instruct you in a series of exercises to stretch the plantar fascia and tendons and to strengthen lower leg muscles, which stabilize your ankle and heel. A therapist might also apply athletic tape to support the bottom of your foot.

Shock Wave therapy initiates a healing response by the body; causing blood vessel formation and increased delivery of nutrients to the affected area, which stimulates a repair process and relieves the symptoms of pain.

Dry needling /IMS  causes minor bleeding within the tissues and can break up scar tissue. This minor trauma allows the body to recognize the injured tissue as an acute problem area and  increases blood flow and the delivery of nutrients to the affected area.

The healthcare practitioners will also analysis your gait and see if orthotics can be part of the solution for treatment and prevention.  Plantar fasciitis is a condition that has a high re-injury rate.

Plantar FasciitisPlantar fasciitis is a painful condition caused by overuse of the arch tendon (plantar fascia) of the foot; and if you’ve ever suffered from Plantar Fasciitis, you know that this can be one of the most irritating and hard to treat injuries there is.

The most common cause of plantar fasciitis is an overly tight calf muscle which leads to persistent pronation of the foot, which produces over-stretching of the arch tendon, and can lead to inflammation and thickening of the tendon.

The Plantar Fascia is a band of tissue that runs from your heel down through most of the length of your foot. It could be considered to be a “shock absorber” for your arch. This tissue is also known as the arch tendon. When this tissue becomes inflamed, the result is Plantar Fasciitis, a condition that can result in moderate to severe pain in your heel and foot.

Plantar Fasciitis, over time, can also cause a heel spur. If untreated, the condition can become degenerative, causing further pain, symptoms and long-term treatment challenges.

Not surprisingly,  runners, golfers and tennis players who spend long hours on their feet are some of the most common victims of Plantar Fasciitis.  Additionally, those over 40 are more susceptible, as is anyone who is predisposed to the condition. People with tight calves are thought to be more likely to develop the condition, as is anyone who spends time on their feet without proper footwear.

Temporary relief from Plantar Fasciitis can often be found through stretching localized massage, or anti-inflammatory medications. This relief is typically short-lived, however, as the condition will usually persist until it is properly treated and the underlying cause is identified and addressed.

Permanent relief from Plantar Fasciitis will usually come from a combination of the following approaches:

– Improved footwear for the activity you’re engaging in

– Orthotics

– Weight loss

–  Specific Stretching for the foot and calf muscles

– Physiotherapy

– Massage

– Laser Therapy to treat the inflamed area

– Kineso-tape to support the arch tendon

– Shockwave Therapy to treat the inflamed area

You should seek treatment if there is pain when pressing on the inside of the heel or if the pain is worse first thing in the morning.  If left unattended the condition can become more severe, with the pain worsening throughout the day.

Class IV Laser Therapy Now Available at Diversified Health ClinicWhat is Laser Therapy?

Laser Therapy or “photobiomodulation”, is the use of specific wavelengths of light (red and near-infrared) to create therapeutic effects.  These effects include improving healing time, pain reduction, increased circulation and decreased swelling.  Laser Therapy has been widely utilized in Europe by physical therapists, nurses and doctors as far back as the 1070’s.

Cellular Effects of Laser Therapy

During Laser Therapy the infrared laser light interacts with tissues at the cellular level and metabolic activity increases within the cell, improving the transport of nutrients across the cell membrane.  This initiates the production of cellular energy ( ATP) that leads to a cascade of beneficial effects, increasing cellular function and health.

Laser Therapeutic  Effects

During each painless treatment laser energy increases circulation, drawing water, oxygen and nutrients to the damaged area.  This creates an optimal healing environment that reduces inflammation, swelling muscle spasms, stiffness and pain.  As the injured area returns to normal, function is restored and pain is relieved.

Patient benefits of Laser Therapy

Laser Therapy is proven to bio-stimulate tissue repair and growth.  The Laser accelerates the healing process and decreases inflammation, pain and scar tissue formation.  In the management of chronic pain Class IV Laser Therapy can provide dramatic results , is non-addictive and virtually free of side effects.

Numerous studies show that Class IV Laser Therapy can help with:

Tendinopathies | Osteoarthritis | Carpal Tunnel Syndrome | Myofascial Trigger Points | Tennis Elbow | Fibromyalgia | Burns | Ligament Sprains | Diabetic Neuropathy | Muscle Strains | Repetitive Stress Injuries | Plantar Fasciitis | Sports Injuries | Shoulder, Back & Knee Pain | Post-Traumatic Injury

Can it be used in conjunction with other forms of treatment?

Yes, Laser therapy is often used with other forms of treatment, including physiotherapy, chiropractic, massage therapy, acupuncture and even following surgery.  Other healing modalities are complementary and can be used with laser to increase the effectiveness of the treatment.

Please contact our health care practitioners to find out how a Class IV Laser can help you feel better, faster. The K- Laser, Class IV  Laser Therapy is Drug free, surgery free and pain free!

Orthotic FAQ | Advanced Health Care Products VictoriaA custom orthotic is a biomechanical medical appliance designed to align the foot and ankle into the most anatomically efficient position.  Orthotics work by decreasing high-pressure areas, stabilizing foot alignment and cushioning the foot.

Custom orthotics reduce stress and strain on your body by bringing your feet back into proper alignment by re-aligning the foot and redirecting / reducing certain motion that take place during the gait cycle.

The longer you wear your orthotics, the more benefit you will get out of them. If your daily activities require that you change your footwear; you should have a second pair of orthotics designed for that specific activity.  The type of orthotic depends on many factors including lifestyle, athletic activities (i.e., walking, running), foot type, and the problems that are being encountered.  Remember that the orthotics will not permanently change your anatomy and will only “work” when you are standing or walking on them.

Custom orthotics are used to relieve symptoms of common injuries, such as plantar fasciitis, over-pronation, under-pronation,  and various foot and ankle injuries, as well as helping individuals with diabetes or arthritis. Orthotics complement other treatments such as physiotherapy and chiropractic.

The symptoms of poor foot mechanics can include any one of the following:

  • Localized foot pain
  • Bunions, hammer toes
  • Arch/heel pain
  • Leg/knee pain
  • Hip or back pain – even neck pain

Custom orthotics work to realign the structure of your foot, so you may feel pressure in some areas of the orthotic. When you start wearing your orthotics, it is normal for the orthotics to feel strange; however, properly fitted orthotics should not cause any new pain, blistering or redness.

Keep in mind that your shoes act as a foundation for the foot and provide a stable base for an orthotic to sit on. It is important to wear appropriate footwear, as the footwear itself is part of the treatment.  A foot orthotic can be rendered ineffective by placing it in an inferior shoe or runner.

Although symptomatic relief will not occur over night, consistently wearing your orthotics for a period of time will realign your foot, allow healing to occur and help position your foot so you will be using the right muscles at the right time, minimizing fatigue and allowing your muscles to be used more efficiently.

Talk to your health care practitioner and see if you are a good candidate for custom orthotics.