Chitowngal
I'm not sure if I have it. All I know is I have tenderness in my left heel. Worse in the morning. I don't feel like a knife is sticking into my foot. I do my aerobics just fine... then an hour or two later, my foot is more tender. It is just slightly more bloated than my other foot (swelling maybe)?
Question... do you think I have Plantar Fasciitis?
If so, what do you recommend I do to treat it?
Not exercising is not an option. I just changed my shoes and have been doing more lifting and less cardio (jumping etc). Any advice on this?
What will happen if I continue exercising as usual? I am assuming the problem was my shoes and I have changed them. I have heard that it should heal on its own within a year. Am I good to go with exercise then? I can tolerate the discomfort afterwards... as long as I know I'm not doing any permanent damage.
Answer
Be careful... Not taking care of this can lead to a long painful recovery later on See the doc Do the proper exercises and observe the restrictions or "not exercising not being an option" may suddenly no longer be an option.
read on below:
d: Plantar fasciitis is the most common cause of heel pain for which professional care is sought. A variety of terms have been used to describe it including jogger's heel, tennis heel, Policeman's heel, and an outdated term, gonorrheal heel reflecting the old thought that it was somehow related to that sexually transmitted disease.
Pathophysiology: The plantar fascia originates on the medial tubercle of the calcaneus and fans out over the bottom of the foot to insert onto the proximal phalanges and the flexor tendon sheaths. It forms the longitudinal arch of the foot and functions as a shock-absorber as well an arch support. The term fasciitis may be somewhat of a misnomer since the disease is actually a degenerative process with or without inflammatory changes, which may include fibroblastic proliferation. This has been proven from biopsies of fascia from people undergoing surgery for plantar fascia release. It is commonly believed to be caused by repetitive microtrauma to the fascia.
Frequency:
* In the US: Plantar fasciitis accounts for about 10% of runner-related injuries and 11-15% of all foot symptoms requiring professional care. It is thought to occur in 10% of the general population as well. It may present bilaterally in a third of cases.
Mortality/Morbidity: Plantar fascitis probably may lead to significant morbidity placing strict activity limitations on the patient. In addition, due to the pain in the foot leading to changes in patterns of bearing weight, associated additional injury to the hip and knee joints may also occur.
Race: Race and ethnicity play no role in the incidence of plantar fasciitis.
Sex: The condition occurs equally in both sexes in young people. Some studies show a peak incidence may occur in women aged 40-60 years.
Age: The condition can occur at any age. As mentioned, a peak incidence may occur in women aged 40-60 years.
CLINICAL Section 3 of 11 Click here to go to the previous section in this topic Click here to go to the top of this page Click here to go to the next section in this topic
Author Information Introduction Clinical Differentials Workup Treatment Medication Follow-up Miscellaneous Pictures Bibliography
History:
* The patient reports inferior heel pain with the first few steps taken in the morning or after other long periods of nonweightbearing.
* A limp may be present, and patients may prefer to walk on their toes.
* Initially, the pain decreases with ambulation but then increases throughout the day as activity increases. Pain is worsened by walking barefoot on hard surfaces or by walking up stairs.
* Associated paresthesias, nocturnal pain, or systemic symptoms should raise suspicion of other causes of heel pain (ie, neoplastic, infectious, neurologic causes).
* Patients may report that before the onset of pain, they had increased the amount or intensity of activity including, but not limited to, running or walking. They may have also started exercising on a different type of surface, or they may have recently changed footwear.
Physical:
* The patient may have tenderness upon palpation of the anteromedial aspect of the heel.
* Ankle dorsiflexion may be limited due to tightness of the Achilles tendon.
* Pain may be exacerbated by passive dorsiflexion of the toes or by having the patient stand on his or her toes.
Causes:
* The cause of plantar fasciitis is unclear and may be multifactorial. Because of the high incidence in runners, it is best postulated to be caused by repetitive microtrauma. Possible risk factors include obesity, occupations requiring prolonged standing, heel spurs, pes planus (excessive pronation of the foot), and reduced dorsiflexion of the ankle.
Be careful... Not taking care of this can lead to a long painful recovery later on See the doc Do the proper exercises and observe the restrictions or "not exercising not being an option" may suddenly no longer be an option.
read on below:
d: Plantar fasciitis is the most common cause of heel pain for which professional care is sought. A variety of terms have been used to describe it including jogger's heel, tennis heel, Policeman's heel, and an outdated term, gonorrheal heel reflecting the old thought that it was somehow related to that sexually transmitted disease.
Pathophysiology: The plantar fascia originates on the medial tubercle of the calcaneus and fans out over the bottom of the foot to insert onto the proximal phalanges and the flexor tendon sheaths. It forms the longitudinal arch of the foot and functions as a shock-absorber as well an arch support. The term fasciitis may be somewhat of a misnomer since the disease is actually a degenerative process with or without inflammatory changes, which may include fibroblastic proliferation. This has been proven from biopsies of fascia from people undergoing surgery for plantar fascia release. It is commonly believed to be caused by repetitive microtrauma to the fascia.
Frequency:
* In the US: Plantar fasciitis accounts for about 10% of runner-related injuries and 11-15% of all foot symptoms requiring professional care. It is thought to occur in 10% of the general population as well. It may present bilaterally in a third of cases.
Mortality/Morbidity: Plantar fascitis probably may lead to significant morbidity placing strict activity limitations on the patient. In addition, due to the pain in the foot leading to changes in patterns of bearing weight, associated additional injury to the hip and knee joints may also occur.
Race: Race and ethnicity play no role in the incidence of plantar fasciitis.
Sex: The condition occurs equally in both sexes in young people. Some studies show a peak incidence may occur in women aged 40-60 years.
Age: The condition can occur at any age. As mentioned, a peak incidence may occur in women aged 40-60 years.
CLINICAL Section 3 of 11 Click here to go to the previous section in this topic Click here to go to the top of this page Click here to go to the next section in this topic
Author Information Introduction Clinical Differentials Workup Treatment Medication Follow-up Miscellaneous Pictures Bibliography
History:
* The patient reports inferior heel pain with the first few steps taken in the morning or after other long periods of nonweightbearing.
* A limp may be present, and patients may prefer to walk on their toes.
* Initially, the pain decreases with ambulation but then increases throughout the day as activity increases. Pain is worsened by walking barefoot on hard surfaces or by walking up stairs.
* Associated paresthesias, nocturnal pain, or systemic symptoms should raise suspicion of other causes of heel pain (ie, neoplastic, infectious, neurologic causes).
* Patients may report that before the onset of pain, they had increased the amount or intensity of activity including, but not limited to, running or walking. They may have also started exercising on a different type of surface, or they may have recently changed footwear.
Physical:
* The patient may have tenderness upon palpation of the anteromedial aspect of the heel.
* Ankle dorsiflexion may be limited due to tightness of the Achilles tendon.
* Pain may be exacerbated by passive dorsiflexion of the toes or by having the patient stand on his or her toes.
Causes:
* The cause of plantar fasciitis is unclear and may be multifactorial. Because of the high incidence in runners, it is best postulated to be caused by repetitive microtrauma. Possible risk factors include obesity, occupations requiring prolonged standing, heel spurs, pes planus (excessive pronation of the foot), and reduced dorsiflexion of the ankle.
Plantar fasciitis ?
Dog Lover
i do not know if i have Plantar fasciitis or not i just get pain in my heels after i run on them and when i get home and then i get up the pain gets worse.I went to hospital with my feet to have an x-ray but nothing showed up.Ive been running for 6 years in october just to let you know i have never experienced this sort of pain before.It is not althete's foot this has been going on for over two months.it started out with just pain in my left heel but after a month it spread to my right heel. I dont know what is wrong can you please help me ?? do i have Plantar fasciitis ?
thanks in advance
Answer
Sounds like Plantar Fasciatis (this could take a while to read, but its best to be well informed):
Most commonly, heel pain is caused by inflammation of the plantar fascia â the tissue along the bottom of your foot that connects your heel bone to your toes. The condition is called plantar fasciitis.
Plantar fasciitis causes stabbing or burning pain that's usually worse in the morning because the fascia tightens (contracts) overnight. Once your foot limbers up, the pain of plantar fasciitis normally decreases, but it may return after long periods of standing or after getting up from a seated position.
In most cases, you can overcome the pain of plantar fasciitis without surgery or other invasive treatments. And you can take steps to prevent plantar fasciitis from recurring.
Most commonly, heel pain is caused by inflammation of the plantar fascia â the tissue along the bottom of your foot that connects your heel bone to your toes. The condition is called plantar fasciitis (PLAN-tur fas-e-I-tis).
Plantar fasciitis causes stabbing or burning pain that's usually worse in the morning because the fascia tightens (contracts) overnight. Once your foot limbers up, the pain of plantar fasciitis normally decreases, but it may return after long periods of standing or after getting up from a seated position.
In most cases, you can overcome the pain of plantar fasciitis without surgery or other invasive treatments. And you can take steps to prevent plantar fasciitis from recurring.
You can take some simple steps now to prevent painful steps later:
Maintain a healthy weight. This minimizes the stress on your plantar fascia.
Choose supportive shoes. Give stilettos the boot. Also avoid shoes with excessively low heels. Buy shoes with a low to moderate heel, good arch support and shock absorbency. Don't go barefoot, especially on hard surfaces.
Don't wear worn-out athletic shoes. Replace your old athletic shoes before they stop supporting and cushioning your feet. If you're a runner, buy new shoes after about 400 miles of use.
Start sports activities slowly. Warm up before starting any athletic activity or sport, and start a new exercise program slowly.
Wake up with a stretch. Before you get out of bed in the morning, stretch your calf muscles, arch and Achilles tendon by reaching for your toes and gently flexing your foot. This helps reverse the tightening of the plantar fascia that occurs overnight or you can get a splint to wear to bed (looks like a sling).
By following these self-care tips, you may be able to eliminate heel pain without further treatment:
Apply ice. Hold a cloth-covered ice pack over the area of pain for 15 to 20 minutes three or four times a day or after activity. Or try ice massage. Freeze a water-filled paper cup and roll it over the site of discomfort for about five to seven minutes. Regular ice massage can help reduce pain and inflammation.
Put your feet up. Stay off your feet for several days when the pain is severe.
Decrease your miles. You probably won't have to permanently retire your running or walking shoes, but it's a good idea to cover shorter distances until pain subsides.
Take up a no- or low-impact exercise. Swap swimming or bicycling for walking or jogging. You'll likely be able to return to your regular activities as heel pain gradually improves or disappears. However, some people find that the only way to avoid a recurring problem is to permanently modify their aerobic activities.
Add arch supports to your shoes. Inexpensive over-the-counter arch supports take the tension off the plantar fascia and help absorb shock.
Try acupressure techniques. Apply pressure to your heel by rolling a golf ball or tennis ball with the arch of your foot while you are standing and stabilized. This can help reduce pain and increase blood flow.
Use over-the-counter pain medications. Acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others), naproxen (Aleve) and others may ease pain and inflammation, although they won't treat the underlying problem. Use as directed, tapering off as your pain decreases.
Stretch your arches. Simple exercises using household objects can stretch or strengthen your plantar fascia, Achilles tendon and calf muscles. Go to www.runnersworld.com and check their injury preventions for excercises.
Good luck and happy running:)
Sounds like Plantar Fasciatis (this could take a while to read, but its best to be well informed):
Most commonly, heel pain is caused by inflammation of the plantar fascia â the tissue along the bottom of your foot that connects your heel bone to your toes. The condition is called plantar fasciitis.
Plantar fasciitis causes stabbing or burning pain that's usually worse in the morning because the fascia tightens (contracts) overnight. Once your foot limbers up, the pain of plantar fasciitis normally decreases, but it may return after long periods of standing or after getting up from a seated position.
In most cases, you can overcome the pain of plantar fasciitis without surgery or other invasive treatments. And you can take steps to prevent plantar fasciitis from recurring.
Most commonly, heel pain is caused by inflammation of the plantar fascia â the tissue along the bottom of your foot that connects your heel bone to your toes. The condition is called plantar fasciitis (PLAN-tur fas-e-I-tis).
Plantar fasciitis causes stabbing or burning pain that's usually worse in the morning because the fascia tightens (contracts) overnight. Once your foot limbers up, the pain of plantar fasciitis normally decreases, but it may return after long periods of standing or after getting up from a seated position.
In most cases, you can overcome the pain of plantar fasciitis without surgery or other invasive treatments. And you can take steps to prevent plantar fasciitis from recurring.
You can take some simple steps now to prevent painful steps later:
Maintain a healthy weight. This minimizes the stress on your plantar fascia.
Choose supportive shoes. Give stilettos the boot. Also avoid shoes with excessively low heels. Buy shoes with a low to moderate heel, good arch support and shock absorbency. Don't go barefoot, especially on hard surfaces.
Don't wear worn-out athletic shoes. Replace your old athletic shoes before they stop supporting and cushioning your feet. If you're a runner, buy new shoes after about 400 miles of use.
Start sports activities slowly. Warm up before starting any athletic activity or sport, and start a new exercise program slowly.
Wake up with a stretch. Before you get out of bed in the morning, stretch your calf muscles, arch and Achilles tendon by reaching for your toes and gently flexing your foot. This helps reverse the tightening of the plantar fascia that occurs overnight or you can get a splint to wear to bed (looks like a sling).
By following these self-care tips, you may be able to eliminate heel pain without further treatment:
Apply ice. Hold a cloth-covered ice pack over the area of pain for 15 to 20 minutes three or four times a day or after activity. Or try ice massage. Freeze a water-filled paper cup and roll it over the site of discomfort for about five to seven minutes. Regular ice massage can help reduce pain and inflammation.
Put your feet up. Stay off your feet for several days when the pain is severe.
Decrease your miles. You probably won't have to permanently retire your running or walking shoes, but it's a good idea to cover shorter distances until pain subsides.
Take up a no- or low-impact exercise. Swap swimming or bicycling for walking or jogging. You'll likely be able to return to your regular activities as heel pain gradually improves or disappears. However, some people find that the only way to avoid a recurring problem is to permanently modify their aerobic activities.
Add arch supports to your shoes. Inexpensive over-the-counter arch supports take the tension off the plantar fascia and help absorb shock.
Try acupressure techniques. Apply pressure to your heel by rolling a golf ball or tennis ball with the arch of your foot while you are standing and stabilized. This can help reduce pain and increase blood flow.
Use over-the-counter pain medications. Acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others), naproxen (Aleve) and others may ease pain and inflammation, although they won't treat the underlying problem. Use as directed, tapering off as your pain decreases.
Stretch your arches. Simple exercises using household objects can stretch or strengthen your plantar fascia, Achilles tendon and calf muscles. Go to www.runnersworld.com and check their injury preventions for excercises.
Good luck and happy running:)
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Title Post: Plantar Fasciitis?
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