Make your own free website on Tripod.com

 

PLANTAR FASCITIS

Plantar fascitis is an inflammation of the tissue on the bottom of the foot. The plantar fascia runs the length of the foot originating from the inner area of the heel and anchors into the closest toe joints.

Inflammation of this tissue occurs when the normal biomechanics of the foot falter and the plantar fascia accommodates the extra load. This most commonly occurs when the foot pronates (rolls in) beyond the normal, biomechanical integrity of the foot. Initially, the pain is localized at the origin of the plantar fascia located at the inner heel area. When the inflammation becomes chronic, it can spread the length of the foot.

There are multiple reasons for this dysfunction:

Pronation
Muscular imbalance: weak tibialis posterior and sartorius; tight gastrocnemius
Foot, ankle and leg misalignments
Adrenal weakness
Inflammatory conditions i.e. arthritis, bursitis
Nerve entrapment
Stress fractures

Our examination to determine this problem involves:

Manual muscle testing of the foot, ankle, leg and knees
Visual exam-arch and Achilles tendon integrity; hip, knee and ankle alignment
Gait analysis
Palpation of involved area and related trigger points

The following therapies are used to correct this problem:

Extremity adjustments
Muscle work: Trigger point therapy, myofascial release, muscle re-balancing
Home care exercise regimen to enhance flexibility and increase strength
Nutritional support to reduce the inflammation and repair the tissue
Dietary changes and nutritional supplementation to improve adrenal weakness
Taping support (can be shown to the patient to do at home)
Orthotics