Conservative treatment for Plantar Fasciitis

Created: Nov 27, 2011

Plantar Fasciitis – the most common cause of foot pain

Do you suffer from pain in the bottom of your foot?

A condition known as plantar fasciitis comes from Latin planta meaning “sole of the foot” and fascia meaning “band” which refers to the band of muscles and tendons on the bottom of the foot, and finally itis, meaning inflammation. When you put it all together plantar fasciitis means Inflammation of the muscles and tendons on the bottom of the foot.

Plantar fasciitis can affect only one foot or both feet. Common symptoms and complaints include: heel pain, arch pain, pain when first stepping out of bed in the morning or getting up from sitting. Plantar fasciitis can be the result of a sprain or strain injury to the muscles, tendons or ligaments on the bottom of the foot. The sprain may have happened years ago and now the weakened ligaments are giving way to stress on the arch causing overstretching of the plantar fascia resulting in irritation. If this irritation remains, it can lead to another condition known as a heel spur. A heel spur is a secondary result of too much tension on the plantar fascia where it attaches to the calcaneus bone of the foot. Your body sends calcium to the area to reinforce the muscle attachment at the heel and a heel spur forms. Heel spurs can be totally asymptomatic (meaning you will not feel them) if you remove the irritation and relieve the tension on the plantar fascia.

The arches of the foot function as shock absorbers in diminishing the impact of each heel and foot strike during walking or running. Plantar soft tissue is subject to chronic or repetative injury from long periods of standing, walking or running, especially in shoes or boots without adequate arch support. Plantar fasciitis can also be the result of acute injuries. Jumping from a high platform such as a loading dock, back of a truck or scaffolding can create an enormous amount of stress on the plantar tissues and arches that support them. Sports such as basketball also place lots of stress on the arches of the foot.

There are 26 bones that make up each foot. If these bones that make up the arches that support the plantar fascia are out of alignment or the arch has “dropped” then a common result is plantar fasciitis. It has been my expericence that a significant number of patients with plantar fasciitis will respond well to a correction of the misalignment with a chiropractic adjustment using an instrument to deliver a fast and very specific trust. Following the realignment proper taping of the arch using standard athletic tape will keep the arch in place and is kept on for at least 24 hours. This may have to be repeated several times over a 2-4 week period.

There are times when the arch just won’t keep its proper alignment. This may the result of flat feet or pes planus, this is usually congential condition. It may also be the result of high arches without proper arch support in the shoes. Finally injuries that have overstretched the facia will not allow the arches to stay place. These conditions most alway require custom fit arch supports known as orthotics. These are “casted” in the office using a foam casitng kit in which an impression of the foot is made – in the proper aligment and usually following an adjustment/realignment. The kit is then sent to a laboratory and custom fit orhtotics are fabricated. These orthics are then worn in the shoes to maintain proper support and reduces pressure on the plantar fascia which results in correction of the plantar fasciitis.

To schedule an appointment for evaluation of your foot pain contact Dr. Krift’s office at 859-781-8700.

Douglas P. Krift, D.C.

1467 S Ft Thomas Ave

Ft. Thomas, KY 41001

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