One of the most common
causes of pain in the heel is plantar fasciitis. A classic symptom of this
disorder is severe pain with the first few steps taken in the morning. In
general, plantar fasciitis can be quickly resolved especially if the interval
between the onset of symptoms and start of treatment is short. There are many
treatment options for plantar fasciitis, including rest, strengthening,
stretching, arch support, orthotics, change of shoes, anti-inflammatory agents,
night splints and surgery.
This painful foot disorder
is usually caused by collagen degeneration of the plantar fascia at the point
where it connects to the heel. The plantar fascia is a ligament on the sole of
the foot from the heel to the toes. This ligament supports the arch of the
foot, and micro-tears in the plantar fascia can lead to inflammation and pain.
Plantar fasciitis usually
resolves itself, but the healing process can take 6 to 18 months. This amount
of time can lead to frustration for both patients and doctors. Rest works best
for about 25% of patients, but this may not be an ideal treatment option for
athletes, active adults, or individuals whose line of work require a lot of
walking.
Stretching and strengthening
programs are effective treatment methods for plantar fasciitis. Increasing the
flexibility of the calf muscles, Achilles tendon and plantar fascia help to
alleviate the pain. Strengthening exercises that focus on the muscles of the
foot also help to relieve the symptoms.
Wearing shoes that fit
properly, provide adequate cushioning and arch support also contribute to an
improvement in the condition. Likewise, over-the-counter arch supports and
orthotics are cost-effective treatment options for many patients with plantar fasciitis.
Orthotics made of dense materials that are soft enough to walk on
comfortably tend to be most effective. These devices are available over the
counter, or they can be custom-made.
To lessen the intense pain
accompanying the first few steps of sufferers in the morning, patients may wear
night splints designed to keep the ankle in a neutral position overnight. A
night splint allows the calf and plantar fascia to remain stretched during
sleep. This allows healing to take place and creates less tension with the
first step upon getting up in the morning. Night splints can be custom-made,
but you can also buy them over the counter.
Anti-inflammatory agents are
often used in the treatment of plantar fasciitis. This includes the use of ice,
non-steroidal anti-inflammatory drugs (NSAIDs), and cortisone injections.
Only in the most extreme
cases is surgery recommended for the treatment of plantar fasciitis. This
involves the surgical release of the plantar fascia, and does not guarantee
100% success. Potential risks involved in surgery include flattening of the
arch, infection, and complications.
Do you have Plantar Fasciitis ? Find out which Plantars Fasciitis treatment
is the most effective!
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