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What Is Plantar Fasciitis? Symptoms, Causes, Treatments – Forbes Health
According to Sharkey, treatments for plantar fasciitis fall into two categories: addressing biomechanical defects, muscle tension, and shoe gear, and treating pain resulting from inflammation along the plantar fascia. to treat
Treatment usually begins by addressing the biomechanics. physical therapist Manual therapy can be done, splints and taping techniques can be applied. For example, taping the arch of the foot for added support has been shown to help reduce pain associated with plantar fasciitis.
Physiotherapists recommend therapies that can improve plantar fasciitis by stretching and strengthening the calf and plantar fascia, as well as increasing ankle dorsiflexion range of motion (the ability to change the angle of the foot so that the toes are raised). You can also demonstrate. This is important to support your weight while walking.
Other recommendations include reducing activity, avoiding walking barefoot, investing in recovery and support shoes, icing, orthotics (support shoe inserts) and night splints (stretching the plantar fascia while sleeping). prevent tightening by stretching).
Short-term treatment with either nonsteroidal anti-inflammatory drugs (NSAIDs) or oral or injectable steroids is available for those experiencing high levels of pain. These methods are performed in parallel with physical therapy.
If symptoms do not improve with conservative treatment after 6 to 10 months, surgery may be an option. Plantar fasciotomy surgery partially cuts the plantar fascia to release tension in the band and reduce pain.
However, it requires extensive specialized training and can change the structure of the foot, so there is a risk of continued or worsening pain. Potential complications such as infection, neuropathy, persistent pain, and lengthy recovery period may outweigh the benefits of surgery.
treatment prospects
The first-line treatment for plantar fasciitis is non-surgical, and it can take three to six months for patients to experience complete symptom relief, Dr. Sharkey said. However, symptoms are likely to improve.
“80% of patients achieve symptom resolution with non-surgical treatment,” Dr. Sharkey adds. “About 10% of patients do not improve with conservative treatment and may require surgical intervention.”
People with severe plantar fasciitis are less likely to make a full recovery. In a 2018 study of 174 participants diagnosed with plantar fasciitis, 50% had symptoms after 5 years, 45% after 10 years, and 44% after 15 years. Study participants, on average, received ultrasound-guided corticosteroid injections, orthotics, physiotherapy/rehabilitation, NSAIDs, shock wave therapy, acupuncture, laser therapy, ultrasound to assess fascial abnormalities, etc. I tried 3-4 different treatments. Only 2% of participants underwent surgery.
when to see a health care provider
“Although plantar fasciitis may resolve on its own, this is usually more acute,” says Dr. Splichal. “The longer plantar fasciitis lasts, the harder it is to get rid of.”
Dr. Spryshal advises seeing a podiatrist if pain lasts longer than 2 weeks, increases over time, or interferes with normal activities, including work.
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