Plantar Fasciitis and It’s Treatment - PowerPoint PPT Presentation

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Plantar Fasciitis and It’s Treatment

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  1. Plantar Fasciitis and It’s Treatment

  2. What Is Plantar Fasciitis? Plantar Fasciitis Is A Thickening Of The Plantar Fascia Which Is A Band In The Arch Of The Foot. Plantar Fasciitis Often Causes Tenderness, Pain And Swelling Around The Heel Of The Foot.

  3. How Common Is Plantar Fasciitis? • Most Cases Of Plantar Fasciitis Occur In Middle Aged Individuals (Peak Age Of Occurrence Is 40 To 60 Years). • Approximately 80% Of All Cases Of Heel Pain Are Due To Plantar Fasciitis. • It Is Estimated That 1 Of 10 Individuals Are At Risk Of Experiencing At Least One Episode Of Disabling Heel Pain At Some Point In Life. • 8% Of Foot Injuries In Runners Are Related To Plantar Fasciitis. • Some Estimates Report That 10-16% Of The Population Suffer From Plantar Fasciitis. • Approximately 1% Of All Visits To The Orthopedists Office Are Due To Plantar Fasciitis (This Corresponds To About 2 Million Visits Per Year!) • Plantar Fasciitis Involves Both Feet In Almost ⅓ Of All Cases.

  4. Symptoms Of Plantar Fasciitis • Pain In The Bottom Of Your Foot At The Front Or Center Of The Heel Bone. • Plantar Fasciitis Causes Pain And Tenderness Of The Bottom Of The Foot. The Tenderness Is Usually Toward The Heel, But The Entire Sole Of The Foot Can Be Affected. • A Sign Of Abnormal Tension Or Tightness That Can Lead To Plantar Fasciitis Is A Bony Prominence (Heel Spur) That Develops Where The Inflamed Plantar Fascia Attaches To The Heel Bone (Calcaneus). • You Might Notice That Pain Worse In The Morning When You First Wake Up (“First-step Pain”).  • Pain May Happen When You’re Standing After Having Sat For A Long Time.

  5. Plantar Fasciitis Diagnosis Examination and Clinical Tests Heel Squeeze Test Tinel’s Sign Test Windlass Test Learn more about Plantar Fasciitis Examination and Clinical tests here:

  6. Plantar Fasciitis Diagnosis Diagnostic Tests MRI Scan X-Ray Examination Ultrasound Diagnostics Tests for Ruling Out Other Causes of Heel Pain EMG (or Electromyogram) Bone Scan

  7. Plantar Fasciitis Treatments • Stretching • Ice Massage • Deep Massage • Medications • Night Splint • Orthotics • Shock Wave Treatment • Corticosteroid Injections

  8. Stretching Most Effective Stretch Requires Standing Barefoot Only On The Affected Leg On A Stair Or Box, With A Rolled-up Towel Resting Beneath The Toes Of The Sore Foot And The Heel Extending Over The Edge Of The Stair Or Box. (The Unaffected Leg Should Hang Free, Bent Slightly At The Knee.) Slowly Raise And Lower The Affected Heel To A Count Of Three Seconds Up, Two Seconds At The Top And Three Seconds Down. Perform 8 To 12 Repetitions Of The Exercise Every Other Day.

  9. Ice Massage • Ice Or Cold Compresses Alleviate The Symptoms Of Pain And Discomfort. You Can Massage The Bottom Of Your Foot With An Ice Pack Wrapped In A Towel. Rub An Ice-pack Gently Over The Tender Area On Your Heel For 15 To 20 Minutes, 3-4 Times A Day. • Additionally, Rolling Your Foot On A Bottle Of Frozen Water Can Also Give Quick Relief From Pain And Discomfort. Ice Massage Can Also Be Used As A Preventative Measure To Minimize The Attacks Of Pain After Long Periods Of Rest Or Inactivity.

  10. Deep Massage Therapeutic Deep Tissue Massage To The Heel Pad And Back Of The Calf Muscles Is Known To Help The Pain, Swelling And Discomfort Associated With Plantar Fasciitis. When Performed In Expert Hands, Deep Tissue Massage Helps Release Tension And Break Scar Tissue. If The Massage Is Aggressive, You May Experience Some Pain Or Soreness After The Massage, Which Resolves In A Few Hours Or Occasionally, A Few Days.

  11. Medications • A Simple Way To Treat The Pain Of Plantar Fasciitis Is Through The Use Of Medications Which Are Used In Conjunction With Other Interventions Such As Stretching. They Can Help To Reduce Pain Enough To Facilitate Stretching, Physical Therapy And Exercise. However Medications Have A Minimal Role In Treatment Or Prevention Of Plantar Fasciitis And Should Be Reserved For Temporary Use Only. • Tylenol / Acetaminophen The First Line Medication Treatment Is Tylenol / Acetaminophen. • NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) Can Also Be Used As The First Line Medication Treatment.

  12. Night Splint Night Splints Help In Stretching Your Calf Muscle And Supporting The Arch Of Your Foot. The Night Splint Assists In Holding The Plantar Fascia And The Achilles Tendon In An Elongated Position During Sleeping To Expand The Fascial Sheath. Night Splints Need To Be Used Each Night Regularly And Failure To Wear These Nightly Limit Their Effectiveness. Poor Sleepers Have Particular Difficulty With This Treatment As The Splints Disrupt Their Sleep. Various Studies Suggested That Regular Use Of Tension Night Splints With Stretching, Heel Cups, NSAIDs And Shoe Modification Can Resolve Plantar Fasciitis Symptoms Completely (Without Needing Any Other Therapy).

  13. Orthotics • A Snuggly Fitting Heel Counter To Provide Hind Foot Stability. • Shoes With Laces Are Also Preferred Over Flip-flops As Laces Support And Stabilize The Mid-foot As Well As The Foot Arches. • Shoes With A Low Heel, Preferably Shoes With A Zero Drop. Those Are Shoes That Are Completely Flat Where The Heel And The Forefoot Are The Same Distance From The Ground • Get Shoes To Match You Feet: Low-arched Or Flat Feet Should Be Placed In A Straight Shaped Shoe (A Straight Last) Which Has Motion Control To Help Stabilize The Feet. • Don’t Wear Worn-out Athletic Shoes.

  14. Shock Wave Treatment • We Use A Type Of ESWT Called Extracorporeal Pulse Activation Technology Or EPAT® Which Has Been Shown To Be Very Effective When Used In Early Plantar Fasciitis. Extracorporeal Pulse Activation Technology Uses High Frequency Sound Waves That Are Directed At The Most Tender Part Of The Heel To Promote Healing. • The Procedure. Our Protocol For EPAT Is A Course Of 3 Treatments, Each 2 Weeks Apart. rt. • Relief: Many Patients Have Pain Relief Immediately After this treatment. EPAT Has A Cumulative Effect So Repeating The Procedure Can Be Beneficial. The Full Effect Each Course Of Treatment May Take Up To 6 Weeks.

  15. Corticosteroid Injections • If Conservative Measures Do Not Result In Adequate Pain Relief Then An Ultrasound Guided Corticosteroid Injection Is A Possible Alternative. • Ultrasound Guided Steroid Injections Are Widely Used In The Management Of Plantar Fasciitis. Use Of Ultrasound Guidance Helps In Increasing The Accuracy While Reducing The Risk Of Side Effects Including Fat Pad Atrophy. • Other Conservative Remedies Should Be Used In Conjunction With Ultrasound Guided Corticosteroid Injections Such As Orthotics And Stretching Exercises.

  16. Learn More About : • (774) 421-9144