Plantar Fasciitis & Foot Pain
This is Dr. Salam, I practice at One Care Medical Center, an orthopedic hospital in Coimbatore. In this short article lets discuss on plantar fasciitis
Plantar Fasciitis is the most common factor for foot pain or pain in the heals. This Condition is due to the thickening of tissue that runs across the bottom of the foot which connects with your heel bone to your toes.
Plantar Fasciitis affects Mostly Age group between 40 to 60 years are having the maximum. It also occurs in younger people who are on their feet a lot like athletes or soldiers, can happen in one foot or both feet.
What are the Conditions for Plantar Fasciitis?
The plantar fascia is a flat band-like tissue that connects the heel bone to the toes, it actually supports the arch of your foot. But the pain starts when you strain it so that it gets weak, swollen and irritated (inflamed). You experience the pain mostly when you stand or walk.
Problem is mostly seen in people who are
B. Flat foot (absence of foot arch when standing)
C. High arches
D. Walking too much with foot roll inward
E. Standing or walking or running for long periods of time on hard surfaces
F. Faulty shoes or worn out footwear
G. Tight Achilles tendon or calf muscle
What are the Symptoms of Plantar Fasciitis?
Most people with plantar fasciitis experience severe pain with the first steps on waking up in the morning or sitting for a long time. The pain and stiffness may reduce after few activities but it gets bad on continued activities towards the end of the day. Pain is made worse by walking barefoot or upstairs.
How is Plantar Fasciitis Diagnosed?
Your doctor will usually find this condition by checking your feet and watching you stand and walk. It is very important to mention to your doctor regarding the site, time & frequency of your foot pain and the activities you are routinely involved so that other problems too can be ruled out.
What are the Investigations for Plantar Fasciitis?
Generally, doctors will identify this condition by examining the patient. But they may also ask for an x-ray of the foot to eliminate the possibilities of stress fracture or other conditions. A small extension growth of your heel bone (heel spur) shows a little significance to this condition. Sometimes a minimal blood test is required to identify arthritis (Rheumatoid / Gouty) or infiltrative bone conditions.
What is the Treatment for Plantar Fasciitis?
No single treatment works best for everyone with plantar fasciitis. But there are a few things which can make your foot get better.
Rest: Reduce the activities that hurt your foot. Avoid walking or running on hard surfaces and on barefoot.
Ice or heat: Try putting ice packs on your heel for 10 to 15 minutes as many times as possible (5 to 6 times Ideal) or you can keep your foot in some warm water and do stretching exercises.
Stretching exercises: One can perform toe stretches, calf stretches towel stretches several times a day especially in the mornings.
Shoes or sandals: It is important to wear correct fitting shoes always and have shoes with a good arch to support your feet. There are specially designed sandals to cushion your soles to help you walk better inside your home and also outside.
Splints: There are certain foot strapping or taping devices to keep your ankle in the neutral position if other methods do not help.
Medicine: A short course of Anti-inflammatory drugs can benefit your foot pain. There are options for steroid injections in your heel if pain persists for a long time.
Is Surgery a Treatment Option for Plantar Fasciitis?
A Surgical Management (Plantar Fasciotomy) is reserved for those who have failed to improve after at least 6 to 12 months of conservative treatment.
Plantar fasciitis is most often occurring because of injuries that have happened over time. With above-mentioned treatment, you will have less pain within few weeks, but it may sometimes take time for the pain to go away completely (few months to a year).
Stay with the treatment. The sooner you start the treatment the sooner you walk free.
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