Plantar Fasciitis & Back Pain
So what causes the Plantar Fascia to become inflamed? There are a number of various reasons for this to occur. For example, you are more likely to develop Plantar Fasciitis, if you are over 50 years old, if you're overweight, or pregnant, or if you have a job that requires a lot of walking or standing on hard surfaces. You're also at risk if you do a lot of walking or running for exercise (overuse injury). And if you have tight calf muscles (which a lot of people have) you're also more likely to develop Plantar Fasciitis.
Plantar fasciitis Classification and external resources. Plantar fasciitis PF is a painful inflammatory process of the plantar fascia, the connective tissue on the sole bottom surface of the foot. It is often caused by overuse of the plantar fascia or arch tendon of the foot. The plantar fascia is a thick fibrous band of connective tissue originating on the bottom surface of the calcareous heel bone and extending along the sole of the foot towards the toes. A symptom commonly recognized among sufferers of plantar fasciitis is an increased probability of knee pains, especially among runners.
Morning plantar fasciitis is commonly the most painful type of heel pain associated with this condition. This is because pain from plantar fasciitis is often felt more in the morning. After long periods of rest, such as after waking up in the morning, an inflamed area of the plantar fascia ligament becomes stressed when pressure is put on it. The first steps taken in the morning are usually extremely painful. Terrible morning plantar fasciitis pain results from the plantar fascia ligament being over stretched and becoming inflamed within a few steps.
Splints are particularly effective at preventing morning foot pain, and are strapped to the foot at bedtime and keep the tissue in its stretched state. Without the contraction the foot is prepared for the first few steps, and the devices can eradicate morning foot pain. Heel seats on the other hand are devices which are placed under the heel and fit easily into most shoes. By elevating the heel the plantar fascia is not required to stretch and flex as much when walking which eases the pain and prevents further damage. They are also particularly effective at easing the pain from heel spurs by cushioning the heel.
Surgery carries the risk of nerve injury, infection, rupture of the plantar fascia, and failure of the pain to improve. 13 Surgical procedures, such as plantar fascia release, are a last resort, and often lead to further complications such as a lowering of the arch and pain in the supero-lateral side of the foot due to compression of the cuboid bone 14 An ultrasound guided needle fasciotomy can be used as a minimally invasive surgical intervention for plantar fasciitis. A needle is inserted into the plantar fascia and moved back and forwards to disrupt the fibrous tissue. 15
The plantar fascia is a thick fibrous band of connective tissue originating on the bottom surface of the calcaneus (heel bone) and extending along the sole of the foot towards the toes It has been reported that plantar fasciitis occurs in two million Americans a year and in 10% of the U.S. population over a lifetime. Another symptom is that the sufferer has difficulty bending the foot so that the toes are brought toward the shin (decreased dorsiflexion of the ankle ). A symptom commonly recognized among sufferers of plantar fasciitis is an increased probability of knee pains, especially among runners Diagnosis edit.
Heelpain is commonly felt on the bottom of the foot, where the plantarfascia attaches to the heel bone. Due to the fact that the fasciaconstricts when you sleep, you will typically feel the most pain in themornings. When you get up, the sudden stretch and load of your bodyweight pulls on the attachment to the heel bone. Mild to severesymptoms of foot pain in athletes may occur. The pattern of pain can bevery unpredictable over months at a time. Frequently, the paindisappears for several weeks, only to re-emerge full-blown after asingle workout or change in activity.
The pain associated with plantar fasciitis is typically gradual in onset and is usually located over the inner or medial aspect of the heel. Occasionally, the pain will be sudden in onset, occurring after missing a step or after jumping from a height. The pain is commonly most severe upon arising from bed in the morning, or after periods of inactivity during the day. Thus, it causes what is known as "first-step pain." The degree of discomfort can sometimes lessen with activity during the course of the day or after "warming-up", but can become worse if prolonged or vigorous activity is undertaken.
Shoe modifications are also important. Wearing the proper shoe and in some cases in combination with a custom orthotics helps to cushion and support the foot and keep the plantar fascia supported to stop excessive strain on the foot. Custom orthotic devices are custom molded to your foot and prevent any biomechanical defects with your foot to help aid in recovery and prevent future recurrences. Night splints are also used at night to keep the plantar fascia stretched to reduce morning pain associated with this condition. Injection therapy can be combined with the above modalities.
There are many treatment options for plantar fasciitis One of the most common treatment is through using the RICE system. This includes rest, ice, compression, elevation. This is used by many athletes and physical therapist to treat a wide variety of symptoms. Plantar fasciitis is no different, in that these techniques can dramatically improve symptoms of plantar fasciitis and reduce a lot of the pain associated with the condition. There other treatment options if this proves to be not enough, such as orthopedic inserts, night splints, and a wide range of products including massage products and rollers.