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Plantar Fascaitis

Definition: inflammation of the plantar fascia of the foot, heel pain

Causes: unbalanced gait with more stress placed on the injured area usually due to
postural deviations such as scoliosis.   Condition may be aggravated by excess weight, overexertion, overuse, using before strong enough, bad shoes, flat feet, pronated feet, tight calf muscles, tight hip muscles and Tensor fascia late.

Signs/Symptoms:  pain in heel at bottom of the foot, usually worse after a period of sitting or inactivity or worse with first step out of bed in the morning.

Treatments:  

  • Postural rebalancing and realigning is necessary to take the stress off the area. 
  • Lengthening the calf muscles, hip flexors, hip rotators, TFL's, psoas, usually helps.  
  • Stretching the same in a home program may be necessary.
  • Put shoes by the side of the bed so that you step into them first thing when you get out of bed to stop reinjuring the fascia.
  • Roll a tennis ball under your foot to massage the bottom of your foot.
  • Strengthening the calf muscle is key to resolving this problem.

 

Foot technique:

  1. Client supine, practitioner at foot of table facing bottom of foot
  2. Grasp client toes and ball of foot with one hand and dorsiflex foot, stretching plantar fascia
  3. With other hand use knuckle to strip plantar fascia from top to bottom covering all surface area.  Always move top (ball of foot) to bottom (heel).  Repeat everyday until healed.  Icing afterward will usually speed healing process.  Apply as much pressure as client can stand.  This is usually very painful.  If the client can stand the pain, the condition will heal faster.


Web resources:
http://heelspurs.com/_intro.html

http://www.arthroscopy.com/sp09001.htm - anatomy

http://www.aafp.org/afp/20010201/467.html -stretches

 

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