Plantar Fasciitis is a common foot ailment in adults. Most people notice pain near the heal with the first few steps after getting out of bed in the morning. The pain usually subsides and only reappears in severe cases at the end of the day after being on the feet for hours.
The cause of the pain is collagen degeneration. The degeneration occurs when the plantar fascia suffers repetitive microtears. The repeating microtears cause the body not to be able to repair the damage.
Prolonged physical activity increases the risk of suffering from plantar fasciitis, which is why many athletes end up with the condition. With that being the case, reducing physical activity is the first course of treatment.
It can take up to 18 months for plantar fasciitis to heal. While this can seem like an eternity for athletes, it’s essential to care for it as directed, or the condition could worsen, leading to surgery.
Stretching and strengthening exercises for the food can help speed up the healing processes. Surprisingly enough to many people, increasing the flexibility of the calf muscles can also help with healing.
Properly fitting shoes can help some plantar fasciitis sufferers. Shoes with well-cushioned midsoles are best. Many running shoes have this support, so consider them in the right size for your foot.
People with flat feet should wear motion control shoes or shoes with a longitudinal arch. This will help better support the feet during activities to assist with healing. Continued use can reduce the risk of suffering from the condition again.
Night splints keep the ankle in a neutral position, stretching the calf muscle and plantar fasciitis while sleeping. It can also help with the pain often felt after getting out of bed in the morning.
Night splints can be uncomfortable to sleep in, but they have a moderate success rate associated with them. They are best for people who are still suffering from plantar fasciitis after 12 months.
To reduce inflammation around the plantar fasciitis, ice, NSAIDs, iontophoresis, and cortisone injections can help. Ice is the first line of treatment when beginning anti-inflammatory agents, as it is the safest. Individuals can apply the ice on the bottom of the foot for 10-15 minutes and then massage the foot.
NSAIDs are unrecommended because of the increased risk of gastrointestinal bleeding, gastric pain, and renal damage. While they can highly successful in treating the condition, the risks can be a deal-breaker, especially with other options available.
This treatment option for plantar fasciitis involves sending corticosteroids into soft tissue structures with a low-voltage galvanic current stimulation unit. Most individuals need treatment two or three times a week for it to be effective.
Corticosteroid injections are a highly successful treatment option for plantar fasciitis. However, there is a risk of the plantar fasciitis rupturing or atrophy of the fat pad. Most medical professionals will only administer the injection one or two times due to those risks.
If all treatment options have been exhausted without success, the surgery can release the plantar fascia. A plantar fasciotomy uses an open, endoscopic, or radiofrequency lesioning technique for releasing the plantar fascia.
Plantar fasciitis treatment starts at Suffolk Foot and Ankle with convenient locations throughout Long Island in East Patchogue, Riverhead, Medford, and Commack. Contact us today at 631-604-4948 to request an appointment at your desired location.