WHAT IS PLANTAR FASCIITIS?

Plantar fasciitis is the most common injury of the plantar fascia and is the most common cause of heel pain. Approximately 10% of people have plantar fasciitis at some point during their lifetime. It is commonly associated with long periods of weight bearing and is much more prevalent in individuals with hyperpronation (flat feet). Among non-athletic populations, it is associated with obesity.

Plantar fasciitis pain is usually felt on the underside of the heel and is often most intense with the first steps of the day. Those with plantar fasciitis often have difficulty bending bringing their toes toward the shin

CONSERVATIVE APPROACHES FOR PLANTAR FASCIITIS

First-line conservative approaches involves techniques such as rest, heat, ice, calf-strengthening exercises, plantar fascia stretching techniques, achilles tendon stretching techniques, weight reduction in overweight or obese patients, and nonsteroidal. Anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen are also considered first-line treatments for plantar fasciitis. NSAIDs are commonly used to treat plantar fasciitis, but fail to resolve the pain in 20% of patients. Custom orthotic devices have been demonstrated as an effective method to reduce plantar fasciitis pain for up to 12 weeks; the long-term effectiveness of custom orthotics for plantar fasciitis pain reduction requires additional study

SOME FIRST-LINE CONSERVATIVE APPROACHES

GASTROC STRETCH : - Keep back leg straight, heel on floor with foot turned slightly outward. Lean toward wall until stretch is felt in calf.

SOLEUS STRETCH : - Stand with both knees bent, and involved foot back. Gently lean into wall until stretch is felt in calf.

Single Leg Toe Curl : - Single Leg Toe Curl should be done With foot resting on towel, slowly bunch towel up as you curl toes.

Planter Fascia Stretch : - Standing with ball of foot on stair, reach for bottom step with the heel until a stretch is felt along arch of foot.