Plantar fasciitis is a condition that involves inflammation and pain of thick bands of tissue, known as plantar fascia. These tissues run across the bottom of the feet and connect the heel bone to toes. Heel pain is more often than not caused by this condition. One will experience stabbing pain that occurs with the first morning steps. When considering plantar fasciitis treatment San Francisco residents have many options that are effective.
As much as 90 percent of individuals suffering from this condition will get relief after undergoing conservative treatments for a few months. One common treatment option is use of drugs and medications. One of these is non-steroidal anti-inflammatory drugs. The drugs ibuprofen and naproxen relieve pain and reduce inflammation. They however never really treat underlying problems. There is also the drug corticosteroid that is taken through iontophoresis. This will involve applying of corticosteroid solution over the painful area. The absorption process is achieved by electric current that is not painful.
Another method of delivery of the solution is injection. Using multiple injections is never recommended since it could weaken the plantar fascia, causing it to rupture. In addition, this could lead to shrinking of the fat pad that covers the heel bone. For more accurate placement of the injection, there is sometimes the use of ultrasound guidance.
Another option of treatment is the use of stretching and strengthening exercises. These may be used in combination with specialized devices. With physical therapy for instance, therapists instruct their patients on various exercises that will help to stretch and strengthen the Achilles tendon and lower leg muscles. The ankles and knees are stabilized in the process. For support of the bottom of the foot, patients are taught ways to apply athletic taping.
The use of night splints is also an effective technique. The doctor or physical therapist may advice patients to wear splints that stretch the calf and arch of the foot while they are sleeping. The plantar fascia and Achilles will be held in a lengthened position overnight in a way that stretching is facilitated. There can also be prescription of off-the-shelf supports known as orthotics. These will help in even distribution of pressure to feet.
In some cases, the conservative techniques fail to be effective and thus more advanced methods have to be used. One of these procedures is extracorporeal shock wave therapy. In this, sound waves get directed to the painful area so that healing is stimulated. This procedure could lead to tingling, swelling, pain, numbness and bruises. Its level of consistency is still in doubt.
Surgery is also an option that has been considered in some cases. There are persons that will need to surgical operation for detachment of the plantar fascia from the heel bone. This is the last option when the pain is very severe and every other technique has failed. Surgery could lead to weakening of the arch in the feet.
When considering plantar fasciitis treatment San Francisco residents ought to know complications involved when one decides to ignore the condition. The chronic pain that results will hinder their daily activities. They may also develop foot, knee, hip or back problems since the condition changes the way one walks.
As much as 90 percent of individuals suffering from this condition will get relief after undergoing conservative treatments for a few months. One common treatment option is use of drugs and medications. One of these is non-steroidal anti-inflammatory drugs. The drugs ibuprofen and naproxen relieve pain and reduce inflammation. They however never really treat underlying problems. There is also the drug corticosteroid that is taken through iontophoresis. This will involve applying of corticosteroid solution over the painful area. The absorption process is achieved by electric current that is not painful.
Another method of delivery of the solution is injection. Using multiple injections is never recommended since it could weaken the plantar fascia, causing it to rupture. In addition, this could lead to shrinking of the fat pad that covers the heel bone. For more accurate placement of the injection, there is sometimes the use of ultrasound guidance.
Another option of treatment is the use of stretching and strengthening exercises. These may be used in combination with specialized devices. With physical therapy for instance, therapists instruct their patients on various exercises that will help to stretch and strengthen the Achilles tendon and lower leg muscles. The ankles and knees are stabilized in the process. For support of the bottom of the foot, patients are taught ways to apply athletic taping.
The use of night splints is also an effective technique. The doctor or physical therapist may advice patients to wear splints that stretch the calf and arch of the foot while they are sleeping. The plantar fascia and Achilles will be held in a lengthened position overnight in a way that stretching is facilitated. There can also be prescription of off-the-shelf supports known as orthotics. These will help in even distribution of pressure to feet.
In some cases, the conservative techniques fail to be effective and thus more advanced methods have to be used. One of these procedures is extracorporeal shock wave therapy. In this, sound waves get directed to the painful area so that healing is stimulated. This procedure could lead to tingling, swelling, pain, numbness and bruises. Its level of consistency is still in doubt.
Surgery is also an option that has been considered in some cases. There are persons that will need to surgical operation for detachment of the plantar fascia from the heel bone. This is the last option when the pain is very severe and every other technique has failed. Surgery could lead to weakening of the arch in the feet.
When considering plantar fasciitis treatment San Francisco residents ought to know complications involved when one decides to ignore the condition. The chronic pain that results will hinder their daily activities. They may also develop foot, knee, hip or back problems since the condition changes the way one walks.
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