Plantar fasciitis is whereby thick bands of tissue known as plantar fascia get inflamed and develop some pain. The tissues run at the bottom of feet while connecting the heel bone to the toes. Mostly it is this condition that causes pain in heels. This will be mostly experienced in the morning with the first steps taken by the individual. When going for plantar fasciitis treatment San Francisco residents should be conversant with the procedures involved.
Approximately 90 percent of people that suffer from the condition will recover after just a few months of conservative treatments. There is the option of using medications, for instance non-steroidal anti-inflammatory drugs. These include ibuprofen and naproxen that will ease pain and inflammation but never treat the causes of the condition. The other type of drugs used is corticosteroids that are normally delivered through the process of iontophoresis. This involves application of corticosteroid solution to the skin, over the area that is painful. Absorption of the medication is achieved by non-painful electric current.
Injection is also a technique that can be used for applying the solution. The use of multiple injections is not advisable as it is known to weaken plantar fascia and thereby causing it to rupture. This would also have the effect of making the fat pad that covers the heel bone to shrink. For the injection to be placed more accurately, ultrasound guidance may be used.
Another option of treatment is the use of stretching and strengthening exercises. These may be used in combination with specialized devices. With physical therapy for instance, therapists instruct their patients on various exercises that will help to stretch and strengthen the Achilles tendon and lower leg muscles. The ankles and knees are stabilized in the process. For support of the bottom of the foot, patients are taught ways to apply athletic taping.
The use of night splints is also an effective technique. The doctor or physical therapist may advice patients to wear splints that stretch the calf and arch of the foot while they are sleeping. The plantar fascia and Achilles will be held in a lengthened position overnight in a way that stretching is facilitated. There can also be prescription of off-the-shelf supports known as orthotics. These will help in even distribution of pressure to feet.
In some cases, the conservative techniques fail to be effective and thus more advanced methods have to be used. One of these procedures is extracorporeal shock wave therapy. In this, sound waves get directed to the painful area so that healing is stimulated. This procedure could lead to tingling, swelling, pain, numbness and bruises. Its level of consistency is still in doubt.
There is surgery which is also considered but as a last resort. It is used when all else has failed to work. The surgery is used to detach plantar fascia from heel bones. The surgical procedure is used when pain experienced is very severe. It may make the arch in the feet weak.
When going for plantar fasciitis treatment San Francisco residents should know there are complications for those that ignore the condition. Such people will develop chronic pain that hinders their regular activities. There is also the possibility of developing knee, foot, back or hip problems because the condition adversely affects the way people walk.
Approximately 90 percent of people that suffer from the condition will recover after just a few months of conservative treatments. There is the option of using medications, for instance non-steroidal anti-inflammatory drugs. These include ibuprofen and naproxen that will ease pain and inflammation but never treat the causes of the condition. The other type of drugs used is corticosteroids that are normally delivered through the process of iontophoresis. This involves application of corticosteroid solution to the skin, over the area that is painful. Absorption of the medication is achieved by non-painful electric current.
Injection is also a technique that can be used for applying the solution. The use of multiple injections is not advisable as it is known to weaken plantar fascia and thereby causing it to rupture. This would also have the effect of making the fat pad that covers the heel bone to shrink. For the injection to be placed more accurately, ultrasound guidance may be used.
Another option of treatment is the use of stretching and strengthening exercises. These may be used in combination with specialized devices. With physical therapy for instance, therapists instruct their patients on various exercises that will help to stretch and strengthen the Achilles tendon and lower leg muscles. The ankles and knees are stabilized in the process. For support of the bottom of the foot, patients are taught ways to apply athletic taping.
The use of night splints is also an effective technique. The doctor or physical therapist may advice patients to wear splints that stretch the calf and arch of the foot while they are sleeping. The plantar fascia and Achilles will be held in a lengthened position overnight in a way that stretching is facilitated. There can also be prescription of off-the-shelf supports known as orthotics. These will help in even distribution of pressure to feet.
In some cases, the conservative techniques fail to be effective and thus more advanced methods have to be used. One of these procedures is extracorporeal shock wave therapy. In this, sound waves get directed to the painful area so that healing is stimulated. This procedure could lead to tingling, swelling, pain, numbness and bruises. Its level of consistency is still in doubt.
There is surgery which is also considered but as a last resort. It is used when all else has failed to work. The surgery is used to detach plantar fascia from heel bones. The surgical procedure is used when pain experienced is very severe. It may make the arch in the feet weak.
When going for plantar fasciitis treatment San Francisco residents should know there are complications for those that ignore the condition. Such people will develop chronic pain that hinders their regular activities. There is also the possibility of developing knee, foot, back or hip problems because the condition adversely affects the way people walk.
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