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Plantar Fasciitis Causes and Treatments .pdf



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Content
1. Plantar Fasciitis Causes and Treatments
2. Plantar Fasciitis Shoes
3. Plantar Fasciitis Symptoms
4. Plantar Fasciitis - Platelet Rich Plasma Therapy for
Persistent Heel and Foot Pain
5. Symptoms of Plantar Fasciitis to Look Out For

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1. Plantar Fasciitis Causes and Treatments
Plantar fasciitis is the medical terminology used to describe
inflammation of the plantar fascia, which is the ligament that
supports the longitudinal arch of the foot. The plantar fascia is a
tough, fibrous band of connective tissue that runs from the heel
bone to the bones in the ball of the foot and is perhaps the strongest
ligament in the human body. The disease is caused by repetitive
strain to this ligament and is the most common cause of heel pain.
The plantar fascia flattens and lengthens when a person stands and
applies weight to the foot. The plantar fascia shortens or contracts
when a person sits or lies down. Walking, running, and jumping
repeatedly shortens and lengthens the plantar fascia over and over
again and can result in strain.
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Symptoms of plantar fasciitis include a dull pain in the heel or arch
that comes and goes. This dull pain can increase to a sharp, constant
pain over time. Other symptoms may include a noticeable tightness
of the calf muscles. A slightly different pain related indicator of
plantar fasciitis could be a very sharp pain and/or inflammation of
the heel or foot in the morning or after resting the feet for long
periods of time which then slowly subsides after walking or some
other activity that allows the plantar fascia to gradually 'warm-up'.
Plantar fasciitis is frequently caused by an abrupt or sudden increase
in activity or exercise. It is another of the 'weekend warrior' type
injuries. Plantar fasciitis can also result from both 'fallen arches' or
'flat feet' as well as from a person having high arches. The
development of problems with the arches in the foot in these cases
usually results from individuals wearing shoes that offer little or no
foot or arch support and/or very thin soles. Gaining a significant

amount of weight over a short amount of time can also result in
excessive stress on the plantar fascia and pain and inflammation in
the heel or arch. Other potential causes include: running uphill, on
the balls of the feet, or on uneven surfaces. Plantar fasciitis also
appears to be related to genetics as cases of plantar fasciitis are
frequently reported by individuals that have other family members
who suffer from the same condition.
Plantar fasciitis can be treated with the help of a physician, physical
therapist, chiropractor, athletic trainer, or another medical
professional that is familiar with the causes of strain and
inflammation. Treatment may consist of stretching and exercise to
increase the flexibility of the plantar fascia and other surrounding
joints and tissues. Massage, heat, and/or electrical stimulation or
ultrasound may be applied to reduce the pain, promote healing of
the damaged tissues, and/or increase the extensibility of the tendons
and ligaments of the foot. Ice and/or iontophoresis using a
corticosteroid may also be used to reduce the inflammation in the
plantar fascia. An insole or custom orthotic may be prescribed or a
brace or tape may be applied to provide additional foot support to
avoid further strain. Finally, an individual suffering from plantar
fasciitis may be instructed to wear a splint on the affected foot
during the night which keeps the plantar fascia in a somewhat
stretched or elongated position so that it cannot shorten or contract
during extended rest and become inflamed and irritated when it is
re-stretched in the morning.

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2. Plantar Fasciitis Shoes
Of the many causes of plantar fasciitis, one out of the most prevalent
is an improperly fitted shoe. It is very important to pay attention to
having an appropriate shoe for daily use and for sports.
A badly fitting shoe can cause painful problems in the feet, especially
for athletes, and can lead to plantar fasciitis. Shoes having
inadequate cushioning at the heel and the forefoot and lacking in
proper support around the arch and the middle of the foot may put a
lot of stress on the plantar fascia while running, jumping or
exercising. Excessive pressure and stress result in pain and
inflammation in the plantar fascia.
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Shoes specially designed for the patients of plantar fasciitis are
available and do not require additional orthotics for pain relief.
These shoes come with all the built-in features to provide relief from
pain and also help to overcome the deficiency in the biomechanics of
the feet. Those experiencing plantar fasciitis due to abnormal gait or
flat feet may use motion-controlled shoes. These shoes are designed
to be heavy and inflexible, with thick heels and dual-density midsoles
in order to correct the walking style of a person. These shoes are
built upon a straight last
A more flexible shoe with a relatively lesser dual-density midsole and
heel than the motion-controlled shoes are available for people with
less severe problems. These are called stability shoes and are built
upon a semi-curved last.
People suffering from planar fasciitis owing to high arches may buy
shoes that are flexible and well cushioned with soft midsole. These
shoes have a semi-curved or a curved last.

While buying a walking shoe, a plantar fasciitis patient must see that
the shoe does not have a high heel and always bends at the ball of
the foot and not at any other place. Moreover, when pushed
downwards at the toe, the heel must lift upwards from a level
surface. A good shoe is one that provides adequate arch support, is
sufficiently cushioned both at the heels and the midsole, and is
flexible. The shoe should blend with the natural walking motion of
the wearer.
For a plantar fasciitis patient, it would be beneficial to get expert
advice from a technical shoe store salesperson who would weigh all
the factors including the weight, stride, gait, and walking distance
before suggesting the right shoe. The best shoe is the one that gives
the greatest walking comfort.

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3. Plantar Fasciitis Symptoms
Plantar fasciitis is an inflammation of the plantar fascia, a tough
fibrous band of tissue that runs from the heel bone to the base of
the toes. Excessive stretching of plantar fascia through physical
activities like running and jumping or from natural causes such as flat
feet, high arches or overpronation (feet rolling in or flattening) leads
to the development of tears in the plantar fascia. These tears in the
plantar fascia result in symptoms of pain and inflammation.
The main symptom of plantar fasciitis is the feeling of acute pain in
the inner side of the heel. If an intense pain is felt in the heel on
taking the first few steps in the morning, then it is most likely a case
of plantar fasciitis. The pain eases as the day progresses because the
plantar fascia gradually stretches due to warming up of the feet.
Sometimes, the pain may start as a dull pain in the heel and the arch
and may later accentuate to a sharp, persisting pain. Patients
suffering from plantar fasciitis may also find climbing stairs or
walking on the toes very painful.
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The pain is also noticed when an individual resumes walking or
standing after a long rest. For those who routinely exercise, pain that
may disappear at the beginning may return after the completion of
the exercise. The other symptoms that are generally associated with
plantar fasciitis are tenderness in the heel and tightness in the calf
muscles.
There are certain other conditions that may be confused with the
symptoms of plantar fasciitis. Tarsal tunnel syndrome is one among
them. A stress fracture of the heel bone, ruptured plantar fascia,
rheumatological conditions, wearing down of the heel fat pad and

problems with the circulation can cause pain in the heel. The doctor
must be consulted if the pain persists for a long time, and the right
cause of the pain must be diagnosed.

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4. Plantar Fasciitis - Platelet Rich Plasma Therapy for
Persistent Heel and Foot Pain
Plantar fasciitis is a painful condition of the feet, affecting the plantar
fascia -- the strong band of connective tissue that runs along the
bottom of the foot. The plantar fascia connects the heel bone to the
toes. When it becomes inflamed, stressed or injured the result is pain
along the bottom of the foot back to the heel. This is what is known
as plantar fasciitis - inflammation of the fascia. This supportive tissue
is also subject to more severe injury, partial tears or even full
ruptures in the most severe cases. Plantar fasciitis is the most
common cause of heel pain. Typically the pain is worse on first
getting up in the morning then eases as the day goes on. Prolonged
standing or walking, however, can make the pain worse.
Conservative treatment, including natural therapies or home
remedies, can help. When these fail, platelet rich plasma therapy
(PRP) can help to relieve foot pain.
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Plantar fasciitis is commonly seen in runners. Other factors that can
lead to this painful condition are being overweight, wearing shoes
with poor arch support or high heeled shoes. Symptoms are
characterized by gradual onset of foot pain either affecting one or
both feet. Stabbing foot and heel pain with the first few steps of the
morning are typical. This condition is more commonly seen in
women. It is estimated that there are 2 million new cases of plantar
fasciitis a year in the United States. Over a lifetime, 10% of
individuals will experience this painful condition.


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