Plantar Fascitis

Plantar fascitis is an acute or semi acute injury which occurs due to the stretching and/or partial rupture of the firm band of connective tissue (plantar fascia) on the sole of the foot. Excessive stretching of the plantar fascia may be produced by:

Excessive, long periods of foot pronation.
Landing hard on the sole of the foot.
Instant foot acceleration and deceleration.
Repetitive shock caused by heel strike.

Heel pain is a frequent complaint with the middle-aged, especially with waitresses and others who must stand for long periods of time. Most often, however, the victim of plantar fascitis is someone who pronates and has been doing so for many years. Without support, the arches of the pronated foot gradually weaken, placing more strain upon the plantar fascia; pain may occur gradually and the potential for developing plantar fascitis is accelerated.

PREVENTION

As preventive measures, the following points should be followed.

Plantar Fascitis requires orthotic support at all times. Your chiropractor can prescribe and cast Orthotics for both dress and casual shoes.
Your chiropractor can recommend the proper shoe (one which is shock absorbing, has a firm counter, strong shank and provides a proper “ball fit”).
Your chiropractor can help with any weight reduction problems for the over weight patient.
Your chiropractic will suggest to do exercise in moderation; NEVER ATTEMPTING TO “RUN THROUGH” PAIN!

TREATMENT

Your chiropractic can perform the best treatment for plantar fascitis which will include the following:

Manipulation of foot biomechanical faults with emphasis on the calcaneus.
An ankle and arch strengthen program for the foot with emphasis on the inversion of the foot.
Create a no weight-bearing platform with arch tape or orthotics when in the acute phase.
Sports activity limited to pain tolerance.
Shock and pronation control through orthotics.
Physiotherapy modalities such as ultrasound, electrical stimulation, interferential and cryotherapy. Designed to reduce inflammation and pain or to increase blood and decrease scar tissue formation.

It is important that the foot get immediate attention when plantar fascitis is in its early stages. The longer treatment is delayed, the longer the recovery.

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