Docstoc

Heel Pain - Plantar Fasciitis

Document Sample
Heel Pain - Plantar Fasciitis Powered By Docstoc
					                                                                    Heel Pain - Plantar Fasciitis


            SYMPTOMS                                                                                         •This repetitive, excessive pronation,
                  •Pain experienced under the heel and/or                                                     is the main contributor to many lower
                   along the arch of the foot.                                                                extremity, overuse injuries, of which
                  •Pain that is worse with the first few steps                                                plantar fasciitis and heel spurs are
                   in the morning and after prolonged sitting.                                                the most common in the foot.
                  •Dull intermittent pain which can
                   progress to sharp persistent pain.                                                      CONTRIBUTING FACTORS
                  •General stiffness felt in foot/ankle.                                                     •With increasing age, often there is
                  •Pain often described as, "a hot poker                                                      decreasing flexibility.
                   through the bottom of the foot".                                                          •Any sudden change in activity, specifi-
                                                                                                              cally activities that increase weight
            DEFINITIONS                                                                                       bearing or pressure on the foot.
            Plantar Fasciitis                                                                                •Changes in training - Increased toe
                •An inflammation of the connective tissue of the bot-                                         running, speed of running or hill run-
                 tom of the foot.                                                                             ning can add stress to the feet.
                •Plantar= bottom of the foot, Fascia=dense fibrous                             •Flat, pronated feet or rigid, high arched feet may be
                 connective tissue, Itis=inflammation                                           more prone to problems.
                •The plantar fascia attaches to the bottom of the                              •Sudden increase in body weight (such as pregnancy)
                 heel bone and fans out to the toes.                                            may also add strain.
                •The plantar fascia is designed to support the foot                            •Poor support in the shoes being worn and/or the
                 and form the arch. It has very little elasticity and is                        poor support inside the shoes can add to the
                 very thick.                                                                    stress on the foot.
                •A heel spur is an abnormal growth of bone on the                              •Biomechanical changes in the foot can cause
                 heel due to excessive stress or pulling where the                              increases in pronation (see Primary Causes).
                 plantar fascia attaches to the heel.
                •The excessive tugging of the plantar fascia on the                         TREATMENT - ADVICE GIVEN MOST OFTEN IN
                 heel bone causes this excess of bone (bone spur)                           CURRENT LITERATURE
                 to grow in a pointed fashion.                                                 •The 3S's - Supporting, Stretching, and
                                                                                                Strengthening, along with ICE and REST, have been
            PRIMARY CAUSE                                                                       found to be the simplest and most effective treat-
            Excessive Pronation                                                                 ment for these injuries.
               •Pronation is a normal movement of the foot that                                •Supporting the foot with proper shoes and insoles,
                helps the body to absorb shock and adapt to differ-                             can prevent or eliminate the vast majority of foot
                ent ground surfaces.                                                            related problems.
               •In analyzing ones gait, first contact is on the heel                           •Stretching of the calf, Achilles tendon and foot can
                and outside of the foot; followed by a shift of body                            help or eliminate the majority of plantar fasciitis
                weight continuing forward toward the arch and                                   problems.
                toes.                                                                          •Strengthening the muscles of the foot and ankle
               •If the foot is weak or tired and/or the footwear is                             can assist in eliminating and avoiding these prob-
                not supportive, then the arch can flatten more than                             lems.
                normal, which is excessive pronation.                                          •Arch supports are recognized as the most success-
               •Flattening of the arch (excessive pronation) places                             ful remedy with stretching a close second.
                pressure on the arch and stretches the plantar fas-
                cia (which supports the arch) and can create
                inflammation at the attachment on the heel.


     THE FOLLOWING ARE A FEW HELPFUL EXERCISES. CHECK WITH YOUR DOCTOR FOR SPECIFICS ON
     YOUR CONDITION AND WHAT YOU SHOULD, OR SHOULD NOT DO FOR YOUR PROBLEM.




Information provided by Brooks Sports and Playmakers, Inc. for educational purposes only.                                           www.brooksrunning.com

				
DOCUMENT INFO
Shared By:
Categories:
Stats:
views:10
posted:5/22/2011
language:English
pages:1