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Plantar Fasciitis

Plantar Fasciitis…..we hear the term thrown around quite often. According to the American Academy of Orthopedic Surgeons, 2 million people suffer from plantar fasciitis every year. According to the National Center for Complementary and Integrative Health, females are 2.5 times more likely to have it than males, and increase body mass index is strongly associated with it.

What is plantar fasciitis you say? How does one come by this diagnosis? How does one “heel” it?

What is it?

Plantar fasciitis is an inflammation of the fibrous tissue (plantar fascia) along the bottom of the foot that connects the heel bone to the toes. Often associated with the first steps out of bed in the morning or pain in the foot after sitting for long periods of time. Most patients describe the pain to be intense and located at the heel, however, it is not limited to the heel.

How do you get it?

The foot is made up of several small little bones, layers of muscle and soft tissue and three arches that help support the foot; the medial longitudinal arch (the arch most people are familiar with), the lateral longitudinal arch and the anterior transverse arch. Plantar fasciitis is usually a result of poor foot biomechanics and under or un-trained foot/arch musculature. The arch musculature is under a lot of inappropriate load with poor biomechanics causing microtrauma of the fascial tissues on the bottom of the foot.

In addition, poor biomechanics can also lead to knee, hip or low back pain.

How to “heel” plantar fasciitis.

As a practicing physician, I have performed numerous therapies designed to help decrease inflammation and pain; graston, adjusting, ART, trigger point therapy, massage, cupping, ice, heat, etc. And patients who arrive at my office have a wide array of therapies they too have tried. S