Plantar Fascitis treatment in boardman,Ohio

When individuals begin to experience intense pain in their heel, many know that they have acquired plantar fasciitis. This ailment occurs when the plantar fascia ligament along the bottom of the foot develops tears in the tissue. This will result in pain and inflammation of the area closest to the heel bone.

The most common symptoms of plantar fasciitis include:

An aching pain in the heel of the foot
The fascia ligament tightens up over night and therefore causes the most pain in the morning. Pain generally decreases as the tissue warms up, but oftentimes returns after long periods of standing or weight bearing and physical activity.

One of the prevalent factors that contribute to plantar fasciitis is wearing incorrect shoes. This includes shoes that either don’t fit properly, or provide inadequate support or cushioning. Weight distribution becomes impaired while wearing shoes that are unsupportive. Therein, adding significantly stress to the plantar fascia ligament.

In most cases, treatment of plantar fasciitis doesn’t require surgery or invasive procedures to stop pain and reverse damage. Traditional treatments are usually all that is required. However, keep in mind that every person’s body responds to the treatment differently and recovery times will vary.

Plantar Fasciitis and Bone Spurs
This article is also available in Spanish: Fascitis plantar y protuberancias óseasFascitis plantar y protuberancias óseas (topic.cfm?topic=A00702).

Plantar fasciitis (fashee-EYE-tiss) is the most common cause of pain on the bottom of the heel. Approximately 2 million patients are treated for this condition every year.

Plantar fasciitis occurs when the strong band of tissue that supports the arch of your foot becomes irritated and inflamed.

The plantar fascia is a long, thin ligament that lies directly beneath the skin on the bottom of your foot. It connects the heel to the front of your foot, and supports the arch of your foot.

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The plantar fascia is designed to absorb the high stresses and strains we place on our feet. But, sometimes, too much pressure damages or tears the tissues. The body’s natural response to injury is inflammation, which results in the heel pain and stiffness of plantar fasciitis.

Risk Factors
In most cases, plantar fasciitis develops without a specific, identifiable reason. There are, however, many factors that can make you more prone to the condition:

Tighter calf muscles that make it difficult to flex your foot and bring your toes up toward your shin
Very high arch
Repetitive impact activity (running/sports)
New or increased activity
Heel Spurs
Although many people with plantar fasciitis have heel spurs, spurs are not the cause of plantar fasciitis pain. One out of 10 people has heel spurs, but only 1 out of 20 people (5%) with heel spurs has foot pain. Because the spur is not the cause of plantar fasciitis, the pain can be treated without removing the spur.

Heel spurs do not cause plantar fasciitis pain.
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The most common symptoms of plantar fasciitis include:

Pain on the bottom of the foot near the heel
Pain with the first few steps after getting out of bed in the morning, or after a long period of rest, such as after a long car ride. The pain subsides after a few minutes of walking
Greater pain after (not during) exercise or activity
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Doctor Examination
After you describe your symptoms and discuss your concerns, your doctor will examine your foot. Your doctor will look for these signs:

A high arch
An area of maximum tenderness on the bottom of your foot, just in front of your heel bone
Pain that gets worse when you flex your foot and the doctor pushes on the plantar fascia. The pain improves when you point your toes down
Limited “up” motion of your ankle
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Your doctor may order imaging tests to help make sure your heel pain is caused by plantar fasciitis and not another problem.

X-rays provide clear images of bones. They are useful in ruling out other causes of heel pain, such as fractures or arthritis. Heel spurs can be seen on an x-ray.

Other Imaging Tests
Other imaging tests, such as magnetic resonance imaging (MRI) and ultrasound, are not routinely used to diagnose plantar fasciitis. They are rarely ordered. An MRI scan may be used if the heel pain is not relieved by initial treatment methods.

“I am a former professional rock climber. Since 2000, I have been working closely with several physical therapists and chiropractors to address some of my soft tissue injuries related to climbing. In 2004, after having suffered for two years with bilateral chronic lateral epicondylitis and neck tension, which did not respond to many modalities of treatment such as RICE, massage, ultrasound, iontophoresis and cortisone injections, I met a chiropractor in Maryland who introduced me to the Graston Technique®. After 8 weeks of GT treatment, my symptoms of tendonitis and neck tension/TMJ were gone.”

– Dana Johns
New York, NY

“Graston Technique® was used to relieve and eliminate plantar fasciitis, soleus and gastrocnemius caused by excessive back pedaling, planting and sprinting forward while officiating NFL games. When my symptoms returned after normal therapy, my physical therapist and athletic trainer suggested GT. Without a doubt, the recovery accelerated, the pain diminished within days, and the tendons and muscles were allowed to be stretched and strengthened to eliminate recurrences.”

– John Parry
NFL Referee, Akron, OH

“I first noticed my plantar fibroma September 2006. Whoever has this knows how uncomfortable, painful, and annoying it can be. I thought I was doomed. I did NOT want surgery because I was warned of a recurrence. Long story short, I went for Graston Technique treatments (after much research) from April–August 2008. The lump was reduced to something practically flat and soft, rather than like walking on a walnut.”

(Update, December 2010): Now, more than two years later, the fibroma is still flat and I am still pain-free!

– Carol B.
Philadelphia, PA

“My chiropractor is a great practitioner. He’s used his talents—the same talents he used with our Olympic athletes—to fix my shoulder, my messed up ankles and, most recently, my bum lower back. I’m glad I have him and his knowledge of the Graston Technique® to keep me in good working order!”

– Peter Kowalchuk
Castle Rock, CO

“I had atrophy and numbness from scar tissue on my right pectoral muscle. I tried everything else and recently began receiving Graston Technique® from my physical therapist. I love it. The pump and function is returning to my muscle. I am getting my symmetry back, as well. Thanks so much.”

– Brian Linderson
U.S. Naval Station, San Diego, CA

“After trying the Graston Technique® for the first time, I not only achieved instant results which showed in my flexibility and in my training, I am able to take my athletic career to the highest level competing with the best in the world. I am able to train more in depth at a higher intensity …. producing better and faster times in the athletic world.
“With the World Championship this year and the Olympics right around the corner, I cannot afford to settle for mediocrity and with this technique I know that I can, and will, be a force to reckon with. Thanks, Dr. Hyde and Dr. Platon.”

—Debbie Ferguson
Two-Time Olympic Champion

A note about Ms. Ferguson’s GT care—

Debbie Ferguson was referred to our office by her track coach with a complaint of fatigue at the end of her workouts. She had no specific area of pain but noted that she was unable to have enough strength to raise her legs up after performing other drills during her workout schedule for track and field. This elite sprint star stated she had noticed this for quite some time and was concerned about being able to finish strong in her races: 100 meters, 200 meters and 4 X 100 relay. She served as the anchor for the 4 X 100.

Examination of Ms. Ferguson revealed the following:
— ROM lumbar spine wall — All neurological examination wnl (reflexes, muscle strength, peripheral sensitivity) — All orthopedic tests wnl — BP/Pulse wnl — No signs of atrophy, rather the musculature was extremely well developed and proportional bilaterally including the upper and lower extremities.

Following examination, the patient was given Graston Technique® to the lumbar spine (quadratus lumborum, erector spinae, multifidi), gluteus medius and maximus, piriformis, all bilaterally and the left psoas. Following receipt of GT, she was advised to stretch all muscles treated and to continue this stretching routine several times daily.

Ms. Ferguson experienced immediate relief of her feeling of fatigue and was able to return to complete her entire workout without complaints. She later set the fastest time in the 100 meter sprint — faster than she had ever done this early in the season. She subsequently received additional GT treatments (4 – 5) for maintenance purposes only, while not only continuing to train but also to compete. Ms. Ferguson’s next goal is to make the 2004 Olympic team and compete as she did in the events listed above.

—Thomas E. Hyde, DC, DACBSP
Alexander Greaux, DC
Aventura Wellness & Rehab
Miami, FL