
Plantar Fasciitis
Plantar fasciitis causes pain on the
bottom of the heel (the fascia is a flexible material extending from your
heel bone to your metatarsal bones to which your toes are attached). The
pain usually occurs after running but not during running, although some
people have pain during running. It also occurs when you first get out of bed. This injury is aggravated by running on
hard surfaces, by running on the balls of your feet during speed work or
hills, and by excessive time in running. If you have plantar fasciitis,
you'll feel pain on your heel, usually on the inside of the heel. To test for
it, press on the middle of the heel (press with your
thumb upwards towards the top of your foot). With heel spurs or bursitis, you'll
feel pain when you press on the front of the heel, near the arch.
Persons with low
arches are susceptible to plantar fasciitis due to insufficient shock
absorption. Persons with high arches are susceptible due to a tight fascia.
Dr. Murray Weisenfeld,
in his book
The Runner's Repair Manual,, has several pages on
injuries to the bottom of the foot, the arch, and the heel, including
treatments you can do at home for plantar fasciitis. He describes a method of
using adhesive tape to support your foot.
Dr. Gabe Merkin
suggests stretching of your
calf muscles.
The following article was written by
Jason Schultz, a treatment specialist at
www.Heel-That-Pain.com
and is posted with his permission.
His web site is www.plantar-fasciitis.org
Heel Pain Stopping You?
Many things can slow down your
active lifestyle, but heel pain can definitely bring it to a stop. The
most common form of heel pain in active people is known as Plantar
Fasciitis (pronounced PLAN-tar fashee-EYE-tiss). It occurs when the long,
flat ligament on the bottom of the foot (Plantar Fascia) stretches
irregularly and develops small tears that cause the ligament to become
inflamed. The pain is described as being dull aching or sharp and can be
reproduced by flexing the toes upwards (dorsiflexion) and tensing the
fascia.
Although the fascia is invested with countless sturdy 'cables' of connective tissue called collagen fibers, it is certainly not immune to injury. In fact, about 5 to 10 per cent of all athletic injuries are inflammations of the fascia, an incidence rate that in the United States would produce about a million cases of plantar fasciitis per year, just among runners and joggers. Basketball players, tennis players, volleyballer’s, step-aerobics participants, and dancers are also prone to plantar problems, as are non-athletic people who spend a lot of time on their feet or suddenly become active after a long period of lethargy. A recent study found that over 50 per cent of people who suffer from plantar fasciitis are on their feet nearly all day.
Plantar Fasciitis usually develops gradually. Heel pain may only occur when taking the first steps after getting out of bed or when taking the first steps after sitting for a long period of time. If the plantar fascia ligament is not rested, the inflammation and heel pain will get worse. Other conditions or aggravating factors, such as the repetitive stress of walking, standing, running, or jumping, will contribute to the inflammation and pain. In some cases, the inflamed ligament may not heal because many people who have plantar fasciitis do not completely stop the aggravating activity.
In athletes, a number of factors are associated with development of plantar fasciitis. These factors can lead the athlete to change his or her gait (the way the feet strike the ground), which can cause symptoms and injury. Risk factors for athletes include:
 |
Biomechanical factors, such as decreased flexibility in the foot and ankle, imbalances in muscle strength (muscles in one leg or foot are weaker than the other), abnormal foot mechanics (when stepping down), and tightness in the Achilles tendon.
|
 |
The repetitive nature of sports activities and improper training.
|
 |
Rapidly increasing the number of miles run.
|
 |
Running on steep hills.
|
 |
Wearing running shoes that are worn out.
|
 |
Wearing running shoes that do not have a cushioned sole or enough arch support.
|
 |
Abruptly changing the intensity or duration of the running routine.
|
The traditional remedies for plantar fasciitis include stretching the calf, massaging, decreasing one's training, losing weight, purchasing better-fitting shoes (with a raised heel and arch support), icing the sore heel, and taking ibuprofen.
Another treatment option, also known as one of the easiest, is using heel seats in your shoes. Heel seats pick up and re-stretch the plantar fascia, redistribute the heels natural fat pad, provide structural reinforcement to the foot, and apply acupressure to relieve the pain while your feet heal. You can find such heel seats through your podiatrist or at
www.Heel-That-Pain.com.
In any case, when you feel pain, your body is trying to warn you that something is wrong. See a doctor or specialist at the first sign of pain. Treating problems early is key to a healthy lifestyle.
(posted with permission)
The
information on this site is for informational purposes only; it does not
constitute medical or physical therapy advice. For medical advice, consult a
physician. For physical therapy advice, consult a physical therapist.
Home | Injuries
|
Preventing Injury | Tendonitis | Bursitis | Buttock Injury | Groin Pull | Heel Spurs | Plantar Fasciitis | Runner's Knee | Shin Splints | IT Band | Short Leg


©
If you would like to receive
occasional notices about changes and additions to this site, send an email to
Allen Leigh at the address given below and request that you be added to the
email list for the Running Injury Free site. I respect your privacy, and your
address will be used only for occasional notices and will not be given to
anyone. Put
Running in the
Subject so my spam program won't delete your email.
The
information in this site and in my podcasts is for
informational purposes only; it does not constitute medical or physical therapy
advice. For medical advice, consult a physician. For physical therapy advice,
consult a physical therapist.
© Copyright Allen W. Leigh 2003, 2007
All Rights Reserved
|