As I research around the internet including social media websites, forums and article there is an abundance of details about plantar fasciitis. Unfortunately much of it’s out-of-date and just thrown up concepts, theory’s and treatment choices that merely have been proven wrong or don’t work.
As a hand and foot chiropractic specialist in Melbourne, FL I have invested the past 15 years studying foot conditions, particularly plantar fasciitis. What was taught as accurate in school has now been proven to be dated and ill rational. What I am going to reveal are not simply my views but, are all backed by scientific literature. I am continuously progressing in my quest of using the best possible treatment alternatives for my clients and therefore research study is necessary. The knowledge I have acquired from this research study has actually modified the treatment I now utilize today to treat a client with plantar fasciitis compared to what I utilized at an early stage in my practice.
So what are these outdated concepts, theories and treatment alternatives I continue to check out for plantar fasciitis treatment massage? Lets start with the name itself. Plantar Fasciitis. In medical terms this informs us that the plantar fascia (actually it’s called the plantar aponeurosis) of the foot is inflamed. It is common knowledge on the internet that the plantar fascia is inflamed typically at the insertion on the heel. The most recent’s research suggest that inflammation has very little to do with plantar fasciitis. Initially there might be some inflammation although the condition becomes more of a degenerative disorder instead of an inflammatory condition. So what does it matter whether it is inflammatory versus degenerative? It is important since it changes the kind treatment that should be administered. An example. If a client has inflammation they would be treated with over the counter anti-inflammatory medication (NSAIDS) such as Advil, prescriptive anti-inflammatory or with an anti-inflammatory injection such as a steroid. These might work treatment options for minimizing inflammation however, they won’t assist much if there is little or no inflammation present such as in degenerative conditions.
So exactly what does the clinical literature have to state? A 2003 evaluation of 50 cases carried out by Lemont et al mentioned that plantar fasciitis is a “degenerative fasciosis without inflammation, not a fasciitis.” 1. In medical terms a suffix of -itis implies swelling where -osis indicates degenerative. Andres et al. wrote in the journal Medical Orthopedics & Related Research study “Current standard science research suggests little or no swelling exists in these conditions”. 2. An article titled Overuse tendinosis, not tendinitis, part1: a brand-new paradigm for a hard scientific issue published in Phys Sportsmed states “many detectives worldwide have actually revealed that the pathology underlying these conditions is tendonosis or collagen degeneration”. 3. I can go on citing a lot more although you can see that the experts concur that the theory of inflammation present in plantar fasciitis not legitimate.
Another common mis-conception is that Plantar Fasciitis is caused by bone stimulates. When a client provides to my office with Plantar Fasciitis and a heel spur is kept in mind on an x-ray I state something which may sound really unusual to the patient “A heel spur is your good friend”. I always get the appearance of “Did you simply say exactly what I think you stated?” I then continue with “Let me discuss … “. I then continue, “Plantar fasciitis is brought on by persistent irritation of the plantar fascia, normally at the insertion on the heel where the bone is present. Gradually the plantar fascia starts tearing away from the bone. The body responds by calcifying (solidifying) the tendon and keeping it intact avoiding it from detaching the bone!”. Thus, why it is refrenced as a “buddy”.
Despite the fact that stimulates prevail with plantar fasciitis the spur itself does not cause discomfort but, the fascia or surrounding soft tissues really trigger the discomfort. 4. Surgery generally is not successful for eliminating the discomfort and the stimulates often return because the root of the problem has not been eliminated. 5
What about flat feet (pronation-often discovered with flat feet) or tight calves. I think these do place increased stress on the plantar fascia and add to plantar fascitis although I do not think they are a root problem of plantar fasciitis. There are many individuals with dropped arches, pronation and tight calves that do not have plantar fasciitis. There are also many people with plantar fascitis that do not have flat feet, pronation or tight calves. Early on in my profession I treated patients with plantar fasciitis who were flat footed by fitting them with a custom orthotic to bring back the arch. Although this did help in reducing the discomfort very often it did not eliminate it. If flat feet was the cause then the patient need to have been treated. It’s been my own clinical experience that has show me that high arches and supination are just as bothersome as being flat footed or having a foot with pronation.
So as a hand and foot chiropractic doctor exactly what do I think is the source of plantar fasciitis? In many cases I think it is a foot that is not effectively working. This may be from a bone out of place such as the Talus or Calcaneous (which I see all frequently) a terrible injury or a hereditary defect. The human foot has 26 bones, 33 joints, 107 ligaments, 19 muscles and tendons and is really complicated. When all these parts are not working correctly in sync it positions excessive tension on the foot and causes degeneration to take place. https://mybowentherapy.com/plantar-fasciitis-treatment-massage/
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