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Foot and Ankle Pain Treatment
What is Plantar Fascitis?
It is one of the most common causes of heel pain. Plantar fascitis is a degenerative condition of the thick band of tissue (also called a fascia) at the bottom of your foot (heel) that runs from your heel to your toes. Normally, this fascia helps to keep the arches of your feet firm and strong in order to effectively endure all the daily stress. Excessive weight, pressure or stress on the heels of the feet can damage this fascia resulting in heel pain.
What are the Risk Factors of Plantar Fascitis?
following causes:
- Age: common in individuals from 40 to 60 years
- Athletes: likes runners or jumpers
- Occupations involving prolong hours walking or standing on hard surfaces can be at increased risk of plantar fascitis. Eg: traffic police, Factory workers, teachers
- Certain types of exercise. Activities – such as long-distance running, ballet dancing and aerobic dance – place a lot of stress on your heel
- Foot Mechanics: Flat feet, a high arch or even an abnormal pattern of walking can affect the way weight is distributed when you’re standing and can put added stress on the plantar fascia.
- Obesity: those extra pounds put enormous extra pressure & stress on the plantar fascia
- High heel shoes or worn-out shoes with thin soles
- Bony spurs
What are the Symptoms of Plantar Fascitis?
Typically, it causes a stabbing type of pain in the bottom of your foot near the heel, which is worst with the first few steps in the morning. It tends to feel better with activity but worsens again after you spend a long time on your feet.
What are the Complications of Plantar Fascitis?
If left untreated, it may disturb your regular activity & also change your way of walking in order to avoid the pain, which might lead to foot, knee, hip or back problems.
Diagnosis?
After complete medical history & comprehensive physical examination of feet, your doctor might sometimes ask for the following tests:
- An X-ray to rule out bone fractures or arthritis
- An MRI to look for fractures
Treatment?
Plantar fascitis is a rather long-lasting complication and there are treatments to help you manage your pain and make your foot better. Some of the treatments are as follows:
- Rest Stop doing things that aggravates the pain. like running or jumping
- Icing the area.
- Night splints – these will stretch your calf and foot during sleep.
- Exercise: to stretch your fascia and Achilles tendon and strengthen your leg muscles, which will make your ankle and heel more stable..
- Weight reduction
- Supportive shoes or inserts Shoes with thick soles and extra cushioning will make it less painful for you to stand or walk. Arch supports can distribute pressure more evenly across your feet.
- Medications: non-steroidal anti-inflammatories (NSAIDs). will help to reduce inflammation & pain. But this cannot be taken on the long-term basis.
- Steroid injections: Injecting steroid medication into the tender area can provide temporary pain relief. Multiple shots aren’t recommended because they can weaken your plantar fascia and possibly cause it to rupture.
- plasma injection to ease the inflammation This is given when there is no adequate pain relief with the above conservative measures.
- Surgery is rarely indicated
Plasma Therapy in Plantar Fascitis?
Platelet-rich plasma prepared from your own blood is injected into the tender area of foot to promote tissue healing. Ultrasound imaging during injections can assist in precise needle placement and improve the success rate of the procedure.
Advantages of Plasma Therapy in Plantar Fascitis?
- Safe
- Promotes good healing
- Good pain relief
- No surgery
- Quick procedure
- Quick recovery.