Plantar fasciitis is whereby thick bands of tissue known as plantar fascia get inflamed and develop some pain. The tissues run at the bottom of feet while connecting the heel bone to the toes. Mostly it is this condition that causes pain in heels. This will be mostly experienced in the morning with the first steps taken by the individual. When going for plantar fasciitis treatment San Francisco residents should be conversant with the procedures involved.
Approximately 90 percent of people that suffer from the condition will recover after just a few months of conservative treatments. There is the option of using medications, for instance non-steroidal anti-inflammatory drugs. These include ibuprofen and naproxen that will ease pain and inflammation but never treat the causes of the condition. The other type of drugs used is corticosteroids that are normally delivered through the process of iontophoresis. This involves application of corticosteroid solution to the skin, over the area that is painful. Absorption of the medication is achieved by non-painful electric current.
The delivery of the solution can also be done through injection. Using multiple injections is never recommended because it could make the plantar fascia weak and thus rupturing it. The other effect of multiple injections is that they could make the fat pad that covers the heel bone to shrink. Ultrasound guidance is used for accurate placement of injections.
The use of stretching and strengthening exercises will provide relief from symptoms. Specialized devices may also be used. An example of the exercises is physical therapy. Physical therapists will instruct their patients on series of exercises to stretch the Achilles tendon and strengthen lower muscles of the legs. This will in the long run stabilize the heels and ankles. Patients will also be taught how to apply athletic taping for supporting the bottom of the foot.
The use of night splints is also an effective technique. The doctor or physical therapist may advice patients to wear splints that stretch the calf and arch of the foot while they are sleeping. The plantar fascia and Achilles will be held in a lengthened position overnight in a way that stretching is facilitated. There can also be prescription of off-the-shelf supports known as orthotics. These will help in even distribution of pressure to feet.
In some cases, the conservative techniques fail to be effective and thus more advanced methods have to be used. One of these procedures is extracorporeal shock wave therapy. In this, sound waves get directed to the painful area so that healing is stimulated. This procedure could lead to tingling, swelling, pain, numbness and bruises. Its level of consistency is still in doubt.
Surgery is also an option that has been considered in some cases. There are persons that will need to surgical operation for detachment of the plantar fascia from the heel bone. This is the last option when the pain is very severe and every other technique has failed. Surgery could lead to weakening of the arch in the feet.
When considering plantar fasciitis treatment San Francisco residents ought to know complications involved when one decides to ignore the condition. The chronic pain that results will hinder their daily activities. They may also develop foot, knee, hip or back problems since the condition changes the way one walks.
Approximately 90 percent of people that suffer from the condition will recover after just a few months of conservative treatments. There is the option of using medications, for instance non-steroidal anti-inflammatory drugs. These include ibuprofen and naproxen that will ease pain and inflammation but never treat the causes of the condition. The other type of drugs used is corticosteroids that are normally delivered through the process of iontophoresis. This involves application of corticosteroid solution to the skin, over the area that is painful. Absorption of the medication is achieved by non-painful electric current.
The delivery of the solution can also be done through injection. Using multiple injections is never recommended because it could make the plantar fascia weak and thus rupturing it. The other effect of multiple injections is that they could make the fat pad that covers the heel bone to shrink. Ultrasound guidance is used for accurate placement of injections.
The use of stretching and strengthening exercises will provide relief from symptoms. Specialized devices may also be used. An example of the exercises is physical therapy. Physical therapists will instruct their patients on series of exercises to stretch the Achilles tendon and strengthen lower muscles of the legs. This will in the long run stabilize the heels and ankles. Patients will also be taught how to apply athletic taping for supporting the bottom of the foot.
The use of night splints is also an effective technique. The doctor or physical therapist may advice patients to wear splints that stretch the calf and arch of the foot while they are sleeping. The plantar fascia and Achilles will be held in a lengthened position overnight in a way that stretching is facilitated. There can also be prescription of off-the-shelf supports known as orthotics. These will help in even distribution of pressure to feet.
In some cases, the conservative techniques fail to be effective and thus more advanced methods have to be used. One of these procedures is extracorporeal shock wave therapy. In this, sound waves get directed to the painful area so that healing is stimulated. This procedure could lead to tingling, swelling, pain, numbness and bruises. Its level of consistency is still in doubt.
Surgery is also an option that has been considered in some cases. There are persons that will need to surgical operation for detachment of the plantar fascia from the heel bone. This is the last option when the pain is very severe and every other technique has failed. Surgery could lead to weakening of the arch in the feet.
When considering plantar fasciitis treatment San Francisco residents ought to know complications involved when one decides to ignore the condition. The chronic pain that results will hinder their daily activities. They may also develop foot, knee, hip or back problems since the condition changes the way one walks.
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