Plantar Fasciitis and It’s Treatment

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Plantar Fasciitis and Its Treatment
http//www.fasciitis.com
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What Is Plantar Fasciitis?

• Plantar Fasciitis Is A Thickening Of The Plantar
  Fascia Which Is A Band In The Arch Of The
  Foot. Plantar Fasciitis Often Causes Tenderness,
  Pain And Swelling Around The Heel Of The Foot.

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How Common Is Plantar Fasciitis?

• Most Cases Of Plantar Fasciitis Occur In Middle
  Aged Individuals (Peak Age Of Occurrence Is 40 To
  60 Years).
• Approximately 80 Of All Cases Of Heel Pain Are
  Due To Plantar Fasciitis.
• It Is Estimated That 1 Of 10 Individuals Are At
  Risk Of Experiencing At Least One Episode Of
  Disabling Heel Pain At Some Point In Life.
• 8 Of Foot Injuries In Runners Are Related To
  Plantar Fasciitis.
• Some Estimates Report That 10-16 Of The
  Population Suffer From Plantar Fasciitis.
• Approximately 1 Of All Visits To The
  Orthopedists Office Are Due To Plantar Fasciitis
  (This Corresponds To About 2 Million Visits Per
  Year!)
• Plantar Fasciitis Involves Both Feet In Almost ?
  Of All Cases.

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Symptoms Of Plantar Fasciitis

• Pain In The Bottom Of Your Foot At The Front Or
  Center Of The Heel Bone.
• Plantar Fasciitis Causes Pain And Tenderness Of
  The Bottom Of The Foot. The Tenderness Is Usually
  Toward The Heel, But The Entire Sole Of The Foot
  Can Be Affected.
• A Sign Of Abnormal Tension Or Tightness That Can
  Lead To Plantar Fasciitis Is A Bony Prominence
  (Heel Spur) That Develops Where The Inflamed
  Plantar Fascia Attaches To The Heel Bone
  (Calcaneus).
• You Might Notice That Pain Worse In The Morning
  When You First Wake Up (First-step Pain). 
• Pain May Happen When Youre Standing After Having
  Sat For A Long Time.

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Plantar Fasciitis Diagnosis
Examination and Clinical Tests
Heel Squeeze Test
Windlass Test
Tinels Sign Test
Learn more about Plantar Fasciitis Examination
and Clinical tests here https//www.fasciitis
.com/plantar-fasciitis-diagnosis/
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Plantar Fasciitis Diagnosis
Diagnostic Tests
X-Ray Examination
MRI Scan
Ultrasound
Diagnostics Tests for Ruling Out Other Causes of
Heel Pain
EMG (or Electromyogram)
Bone Scan
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Plantar Fasciitis Treatments

• Stretching
• Ice Massage
• Deep Massage
• Medications
• Night Splint
• Orthotics
• Shock Wave Treatment
• Corticosteroid Injections

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Stretching

• Most Effective Stretch Requires Standing Barefoot
  Only On The Affected Leg On A Stair Or Box, With
  A Rolled-up Towel Resting Beneath The Toes Of The
  Sore Foot And The Heel Extending Over The Edge Of
  The Stair Or Box. (The Unaffected Leg Should Hang
  Free, Bent Slightly At The Knee.) Slowly Raise
  And Lower The Affected Heel To A Count Of Three
  Seconds Up, Two Seconds At The Top And Three
  Seconds Down. Perform 8 To 12 Repetitions Of The
  Exercise Every Other Day.

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Ice Massage

• Ice Or Cold Compresses Alleviate The Symptoms Of
  Pain And Discomfort. You Can Massage The Bottom
  Of Your Foot With An Ice Pack Wrapped In A Towel.
  Rub An Ice-pack Gently Over The Tender Area On
  Your Heel For 15 To 20 Minutes, 3-4 Times A Day.
• Additionally, Rolling Your Foot On A Bottle Of
  Frozen Water Can Also Give Quick Relief From Pain
  And Discomfort. Ice Massage Can Also Be Used As A
  Preventative Measure To Minimize The Attacks Of
  Pain After Long Periods Of Rest Or Inactivity.

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Deep Massage

• Therapeutic Deep Tissue Massage To The Heel Pad
  And Back Of The Calf Muscles Is Known To Help The
  Pain, Swelling And Discomfort Associated With
  Plantar Fasciitis. When Performed In Expert
  Hands, Deep Tissue Massage Helps Release Tension
  And Break Scar Tissue. If The Massage Is
  Aggressive, You May Experience Some Pain Or
  Soreness After The Massage, Which Resolves In A
  Few Hours Or Occasionally, A Few Days.

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Medications

• A Simple Way To Treat The Pain Of Plantar
  Fasciitis Is Through The Use Of Medications Which
  Are Used In Conjunction With Other Interventions
  Such As Stretching. They Can Help To Reduce Pain
  Enough To Facilitate Stretching, Physical Therapy
  And Exercise. However Medications Have A Minimal
  Role In Treatment Or Prevention Of Plantar
  Fasciitis And Should Be Reserved For Temporary
  Use Only.
• Tylenol / Acetaminophen The First Line Medication
  Treatment Is Tylenol / Acetaminophen.
• NSAIDs (Non-Steroidal Anti-Inflammatory Drugs)
  Can Also Be Used As The First Line Medication
  Treatment.

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Night Splint

• Night Splints Help In Stretching Your Calf Muscle
  And Supporting The Arch Of Your Foot. The Night
  Splint Assists In Holding The Plantar Fascia And
  The Achilles Tendon In An Elongated Position
  During Sleeping To Expand The Fascial Sheath.
  Night Splints Need To Be Used Each Night
  Regularly And Failure To Wear These Nightly Limit
  Their Effectiveness. Poor Sleepers Have
  Particular Difficulty With This Treatment As The
  Splints Disrupt Their Sleep. Various Studies
  Suggested That Regular Use Of Tension Night
  Splints With Stretching, Heel Cups, NSAIDs And
  Shoe Modification Can Resolve Plantar Fasciitis
  Symptoms Completely (Without Needing Any Other
  Therapy).

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Orthotics

• A Snuggly Fitting Heel Counter To Provide Hind
  Foot Stability.
• Shoes With Laces Are Also Preferred Over
  Flip-flops As Laces Support And Stabilize The
  Mid-foot As Well As The Foot Arches.
• Shoes With A Low Heel, Preferably Shoes With A
  Zero Drop. Those Are Shoes That Are Completely
  Flat Where The Heel And The Forefoot Are The Same
  Distance From The Ground
• Get Shoes To Match You Feet Low-arched Or Flat
  Feet Should Be Placed In A Straight Shaped Shoe
  (A Straight Last) Which Has Motion Control To
  Help Stabilize The Feet.
• Dont Wear Worn-out Athletic Shoes.

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Shock Wave Treatment

• We Use A Type Of ESWT Called Extracorporeal Pulse
  Activation Technology Or EPAT Which Has Been
  Shown To Be Very Effective When Used In Early
  Plantar Fasciitis. Extracorporeal Pulse
  Activation Technology Uses High Frequency Sound
  Waves That Are Directed At The Most Tender Part
  Of The Heel To Promote Healing.
• The Procedure. Our Protocol For EPAT Is A Course
  Of 3 Treatments, Each 2 Weeks Apart. rt.
• Relief Many Patients Have Pain Relief
  Immediately After this treatment. EPAT Has A
  Cumulative Effect So Repeating The Procedure Can
  Be Beneficial. The Full Effect Each Course Of
  Treatment May Take Up To 6 Weeks.

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Corticosteroid Injections

• If Conservative Measures Do Not Result In
  Adequate Pain Relief Then An Ultrasound Guided
  Corticosteroid Injection Is A Possible
  Alternative.
• Ultrasound Guided Steroid Injections Are Widely
  Used In The Management Of Plantar Fasciitis. Use
  Of Ultrasound Guidance Helps In Increasing The
  Accuracy While Reducing The Risk Of Side Effects
  Including Fat Pad Atrophy.
• Other Conservative Remedies Should Be Used In
  Conjunction With Ultrasound Guided Corticosteroid
  Injections Such As Orthotics And Stretching
  Exercises.

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