plantar facitius?

Answer 1

ouch!! Painful. I had this when I worked on my feet as a pharmacy tech years ago. the only relief I got was steroid shots in my heals and by loosing weight. Also try this get a cold pop can , put it in the arch of your foot and rool your foot heal to toe. this helps with the inflamation and helps to stretch the ligament that is causing all that pain. good luck!

Answer 2

1

Answer 3

Rest is the first treatment for plantar fasciitis. Try to keep weight off your foot until the inflammation goes away. You can also apply ice to the sore area for 20 minutes three or four times a day to relieve your symptoms. Often a doctor will prescribe nonsteroidal anti-inflammatory medication such as ibuprofen. A program of home exercises to stretch your Achilles tendon and plantar fascia are the mainstay of treating the condition and lessening the chance of recurrence.

Answer 4

Background: Plantar fasciitis is the most common cause of heel pain for which professional care is sought. A variety of terms have been used to describe it including jogger's heel, tennis heel, Policeman's heel, and an outdated term, gonorrheal heel reflecting the old thought that it was somehow related to that sexually transmitted disease.

Pathophysiology: The plantar fascia originates on the medial tubercle of the calcaneus and fans out over the bottom of the foot to insert onto the proximal phalanges and the flexor tendon sheaths. It forms the longitudinal arch of the foot and functions as a shock-absorber as well an arch support. The term fasciitis may be somewhat of a misnomer since the disease is actually a degenerative process with or without inflammatory changes, which may include fibroblastic proliferation. This has been proven from biopsies of fascia from people undergoing surgery for plantar fascia release. It is commonly believed to be caused by repetitive microtrauma to the fascia.

Frequency:
In the US: Plantar fasciitis accounts for about 10% of runner-related injuries and 11-15% of all foot symptoms requiring professional care. It is thought to occur in 10% of the general population as well. It may present bilaterally in a third of cases.
Mortality/Morbidity: Plantar fascitis probably may lead to significant morbidity placing strict activity limitations on the patient. In addition, due to the pain in the foot leading to changes in patterns of bearing weight, associated additional injury to the hip and knee joints may also occur.

Race: Race and ethnicity play no role in the incidence of plantar fasciitis.

Sex: The condition occurs equally in both sexes in young people. Some studies show a peak incidence may occur in women aged 40-60 years.

Age: The condition can occur at any age. As mentioned, a peak incidence may occur in women aged 40-60 years.

CLINICAL Section 3 of 11
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History:
The patient reports inferior heel pain with the first few steps taken in the morning or after other long periods of nonweightbearing.
A limp may be present, and patients may prefer to walk on their toes.
Initially, the pain decreases with ambulation but then increases throughout the day as activity increases. Pain is worsened by walking barefoot on hard surfaces or by walking up stairs.
Associated paresthesias, nocturnal pain, or systemic symptoms should raise suspicion of other causes of heel pain (ie, neoplastic, infectious, neurologic causes).
Patients may report that before the onset of pain, they had increased the amount or intensity of activity including, but not limited to, running or walking. They may have also started exercising on a different type of surface, or they may have recently changed footwear.
Physical:

The patient may have tenderness upon palpation of the anteromedial aspect of the heel.
Ankle dorsiflexion may be limited due to tightness of the Achilles tendon.
Pain may be exacerbated by passive dorsiflexion of the toes or by having the patient stand on his or her toes.

Causes:
The cause of plantar fasciitis is unclear and may be multifactorial. Because of the high incidence in runners, it is best postulated to be caused by repetitive microtrauma. Possible risk factors include obesity, occupations requiring prolonged standing, heel spurs, pes planus (excessive pronation of the foot), and reduced dorsiflexion of the ankle.