Pinnacle Guru · Published archive
Collab Topic - Occupational Therapy
Published
*Definition: Plantar fasciitis is irritation and swelling of the thick tissue on the bottom of your foot. The tissue is called plantar fascia. It connects your heel bone to your toes, creating the arch of your foot. Plantar fasciitis occurs when you overstretch or overuse this thick band of tissue.
* The most common symptoms of plantar fasciitis include:
*Heel pain.
*Pain in the arch of your foot.
*Stiffness.
*Swelling around your heel.
*A tight Achilles tendon
* Diagnosis:An X-ray to rule out bone fractures or arthritis
*An MRI to look for fractures
* Risk factors:Plantar fasciitis is often associated with runners and older adults, but other risk factors include obesity, heel pad atrophy, aging, occupations requiring prolonged standing, and weight-bearing.
* causes:occurs when the thick band of tissue on the bottom of your foot (the fascia) becomes overstretched or experiences excessive strain caused by repetitive stress from activities like standing or running. It can also occur if there is a significant weight gain, including during pregnancy.
This constant stretching and strain of the plantar fascia can lead to chronic degeneration, or the development of small tears in the fascia fibers, particularly where the fascia connects to the heel bone. In addition to tears, ultrasound evaluations often show calcifications, and thickening of the plantar fascia.
*Certain risk factors can make you more
susceptible to plantar fasciitis:
*foot arch problems (both flat feet and high arches)
*long-distance or downhill running on uneven surfaces
*excess weight
*a tight Achilles tendon
*shoes with inadequate arch support or soft soles
*abrupt changes in activity levels.
* Treatment:Icing the area.
*Night splints. You wear these to stretch your calf and foot while you sleep.
*Physical therapy. Certain exercises can stretch your fascia and Achilles tendon and strengthen your leg muscles, which will make your ankle and heel more stable.
*Rest
*supportive shoes
*NSAIDs
Once you begin treatment, you’ll usually see gradual improvement that can take up to several months for resolution. If you do not see improvement in pain and function within 6 – 12 weeks, your doctor might try treatments like injections of platelet-rich plasma (PRP) to ease inflammation. In rare cases, you might need surgery.
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