Understanding the etiology of the problem and the direction of treatment, respectively, is the key to the successful treatment of plantar fasciitis. During the examination and physical examination, it is necessary to pay close attention so as not to miss other possible causes of heel pain. An evidence-based phased approach to treatment will help achieve good results. In this article, we will consider how to treat plantar fasciitis.
If your first few steps from bed in the morning cause severe pain in the heel of the foot, you may have plantar fasciitis, an overuse injury that affects the sole of the foot. A diagnosis of plantar fasciitis means that you have inflamed hard, fibrous bands of tissue (fascia) that connect your calcaneus to the base of your fingers.
You are more likely to develop this disease if you are a woman who is overweight or a job that requires a lot of walking or standing on hard surfaces. You also run the risk if you walk or run, if you have stiff calf muscles that limit how far you can bend your ankles. People with very flat legs or very high arches are also more prone to plantar fasciitis.
The condition usually begins gradually with mild soreness in the calcaneus, often called a stone bruise. You will rather feel it after (not during) the workout. The pain classically occurs immediately after rising in the morning and after a period of sitting. If you do not treat plantar fasciitis, it can become a chronic disease. You may not be able to maintain your level of activity, and you may develop symptoms of foot, knee, hip, and back problems because plantar fasciitis can change walking conditions.
How to treat plantar fasciitis
Stretching is the best treatment for plantar fasciitis. This may help to try and maintain weight on your leg until the initial inflammation disappears. You can also apply ice to the affected area for 20 minutes four times a day to relieve your symptoms. Often, the doctor prescribes non-steroidal anti-inflammatory drugs, such as ibuprofen or naproxen. Home exercises for stretching the Achilles tendon and plantar fascia are the basis of treatment and reduce the likelihood of relapse.
In one exercise, you lean forward towards the wall with one knee and heel on the ground. Your other knee is bent. Your calcaneal ligament and arch of the legs are stretched when you lean. Hold for 10 seconds, then relax and straighten. Repeat 20 times for each sore heel. It is important that the knee is fully stretched on the stretched side.
In another exercise, you lean forward on the countertop with your legs apart, one foot in front of the other. Bend your knees and sit down, keeping your heels on the ground for as long as possible. Your heel ligaments and arches of the legs will stretch. Hold for 10 seconds, relax and straighten. Repeat 20 times.
About 90% of people with plantar fasciitis showed significantly improved readings after two months of initial treatment. You may be advised to use shoes with shock-absorbing soles or equip a ready-made device for insertion into shoes, like a rubber lining for the heels. Your foot can be glued in a specific position.
If your plantar fasciitis continues after several months of conservative treatment, your doctor may inject your heel with non-steroidal anti-inflammatory drugs.
If you still have symptoms, you may need to wear a cast for two to three weeks or a positional splint when you sleep. In some cases, surgery is necessary for tissues with chronic screeds.
How to treat plantar fasciitis medically
1. Take non-steroidal anti-inflammatory drugs. Pain relievers, such as ibuprofen, naproxen, and aspirin, can help reduce inflammation and bring some relief to your leg. Choose a tablet or cream form. If you decide to take a pill, be sure to eat something in advance. When using the cream, simply smear the affected area and let it soak.
2. Visit a physiotherapist. Before proceeding with an operation to relieve the symptoms of your plantar fasciitis, consult a physiotherapist to determine if your condition can be treated with a sprain and rehabilitation program. The appointment of a physiotherapist should be scheduled after all the non-drug procedures listed above have been exhausted, and before resorting to invasive medical procedures such as surgery.
3. Corticosteroid injections. Corticosteroid injections can relieve symptoms of plantar fasciitis, temporarily reducing pain. However, these injections are not a long-term solution to the problem. Keep in mind that although they are much less invasive than surgery, injections can still be painful. Excessive injections can also damage the heel.
4. Take a course of shock wave therapy. This procedure sends sound waves to a painful area to relax the muscles in your leg. Shock wave therapy is usually prescribed for people who have not seen any results from home treatments for more than six to twelve months. Side effects include bruising, swelling, pain, and numbness.
5. How to treat plantar fasciitis with surgery. Plantar fascia release. If none of the above methods have helped relieve your symptoms throughout the year, treatment may be needed to relieve plantar fascia in order to cure your symptoms. This surgical process ultimately releases tension and inflammation in the plantar fascial ligament, cutting off part of the ligament itself.
- Be patient with non-surgical procedures before choosing surgery. Allow yourself at least six to twelve months to try to have a non-invasive treatment before you decide to continue the operation.
- There are several risks associated with plantar fascia release. These include a nervous breakdown or tunnel syndrome, the development of neuroma, persistent heel pain and swelling, infection, long recovery time and delayed ability to heal a wound.
- Put your sore foot on the other foot.
- Using a hand on the affected side, grasp your sore foot and pull your toes back to the shin. This creates tension and tension in the arch of the foot and plantar fascia.
- Check the correct stretching position by gently rubbing the side with your thumb over the arch of the affected leg. The plantar fascia should be as solid as a guitar string.
- Hold the stretch for up to 10 sec. 10 reps
Perform at least three repetitions of stretch marks per day. But do not abuse too frequent stretch marks. The most important time to stretch is before you take the first step in the morning and after a period of prolonged sitting.
- Anti-inflammatory drugs can help reduce inflammation in the arch and heel of your foot. External anti-inflammatory drugs .
- Use the medicine as directed on the package. If you tolerate it well, take it daily for two weeks, and then discontinue for one week. If symptoms worsen or return, resume within two weeks, then stop.
- The inserts provide additional arc support and a soft pillow.
- How to treat plantar fasciitis based on the individual needs of your foot, you may need custom inserts.
Additional stretching, stretching the Achilles tendon:
- Place the shoe stand under the affected leg.
- Place the affected leg behind your undamaged leg with your toes back towards the heel of the other foot.
- Lean against the wall.
- Bend the front knee, while your hind leg should be straight, the heel should be firmly pressed to the ground.
- Hold the stretch for 10 seconds. Repeat 10 times.
- Stretch at least three times a day.
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