31 May Top Plantar Fasciitis Treatment in San Diego
Plantar fasciitis is a medical condition that leads to pain in the bottom of the heel. The plantar fascia is a web-like ligament that connects the heel to the front aspect of the foot. This structure becomes inflamed, leading to heel pain.
How common is plantar fasciitis?
Plantar fasciitis is one of the most common complaints seen in the orthopedic setting. The overall incidence rate of plantar fasciitis is 10.5 per 1,000 person-years. The National Institutes of Health (NIH) found that 2 million people are treated for this condition each year. Women are affected significantly more than men. In addition, plantar fasciitis is more common among older people, African-Americans, and persons who are on their feet alot.
What causes plantar fasciitis?
The plantar fascia ligaments have daily wear-and-tear from walking and prolonged standing. Usually, these ligaments serve as shock absorbers for the arch of the foot. With too much pressure on the feet, these ligaments can tear, become irritated, or stretch. This leads to inflammation, heel pain, and foot stiffness.
What symptoms are associated with plantar fasciitis?
The main symptoms of plantar fasciitis are pain and stiffness felt in the bottom of the heel. Many patients also experience pain at the bottom mid-foot region. The pain and discomfort develops slowly over time, and usually affects only one foot. However, plantar fasciitis can affect both feet. The pain can be sharp or dull, constant or intermittent, burning or aching. Most people report the pain is worse upon arising in the morning, after lying, or after sitting for a while.
Who is at risk for plantar fasciitis?
Increased risk for developing plantar fasciitis exists if:
- You are overweight or obese (due to pressure on the ligaments).
- You are pregnant (excess weight to carry).
- You are a long-distance runner (pounding on a hard surface).
- You work on your feet (factory worker, waitress, customer service).
- You are between the ages of 40 and 70 years.
- You are a woman.
Do heel spurs cause plantar fasciitis?
A heel spur is a calcification on the heel bone. This does not cause plantar fasciitis. One out of every 10 people has a heel spur, but only one in 20 of these people have pain, according to the American Association of Orthopedic Surgeons (AAOS).
How is plantar fasciitis diagnosed?
The doctor will ask you questions about your symptoms, inquire about your activities, take a medical history, and conduct a physical examination. The doctor checks for reflexes, muscle tone, sensation, coordination, and balance. Diagnostic tests may be required, including x-rays or magnetic resonance imaging (MRI) scans.
How is plantar fasciitis treated?
Treatment is aimed at reducing irritation and inflammation of the plantar fascia. Initial home treatment involves rest, use of ice to decrease swelling, and using arch supports in your shoes. Other treatment options are:
- Medications – Nonsteroidal anti-inflammatory drugs (NSAIDs) help relieve inflammation and pain, including ibuprofen and naproxen. The doctor may prescribe a short course of corticosteroids, such as prednisone.
- Physical therapy – This involves exercises to stretch the plantar fascia and Achilles tendons. The therapist uses exercises to help you strengthen the lower leg muscles as well. Swimming and water sports are used because these exercises do not produce heel impact.
- Extracorporeal shock wave therapy (ESWT) – Sound waves are used to stimulate healing within the ligaments. This noninvasive technique was demonstrated to be effective for plantar fasciitis in a recent research study involving over 170 participants. ESWT proved to be significantly effective for pain reduction.
- Night splints – These are worn at night to stretch the calf and foot arch. This brace holds the foot in a flexed position, which lengthens the Achilles tendon and plantar fascia.
- Corticosteroid injection – The doctor can inject a corticosteroid agent into the damaged section of the ligament. To let the steroid pass through the skin and into the muscle, mild electrical current can be used. In a double-blind randomized study, steroid injection significantly reduced heel pain. The results lasted for around 1 month.
The top plantar fasciitis treatment in San Diego metro is with Sorrento Valley Pain Relief Center. Most insurance is accepted, and patients receive comprehensive nonoperative treatment options for heel pain including PRP therapy! Call us today.