ooh so common foot pain. . . plantar fasciitis.

flickr.com/photos/flea_ef/ 4462368202

Is the first step of the day your worst?    Plantar fasciitis may be your problem.

Risk factors for plantar fasciitis are

  • excessive running,
  • high arch,
  • when one leg is longer than the other,
  • obesity,
  • occupations with prolonged standing or walking,
  • sedentary lifestyle,  and
  • Achilles tendon tightness.

Your physician will perform a history and physical which may reveal plantar fasciitis as the diagnosis.  X-rays are rarely needed.

Treatment can be done in stages.  Initial treatment should be tried for a few weeks.

  1. rest
  2. modification of activities,
  3. ice massage,
  4. pain medication, and
  5. stretching

    night splint flickr.com/photos/ cellphonesusie/1294933595/

If heel pain persists, then physical therapy, foot orthotics, and night splinting (see picture) may be needed.

Foot orthotics  are inserts that fit into shoes.  Ones that may help include over-the-counter heel cups, over-the-counter heel or arch orthotics, and custom-made foot orthotic.

90% of patients will improve with the above techniques.  Pain lasting 6 months depspite therapy may require shock wave therapy or a surgery called plantar fasciotomy.

Here’s a video of stretching exercises http://www.youtube.com/watch?v=t2KkdMlqRZU

Hope this helps.

About drlesliegreenberg

I have been practicing as a family physician for over 20 years--as both an educator of physicians and clinician. From infancy to the elderly, I perform obstetrics and general medicine. I love my career and am passionate about my field of knowledge and my patients. Follow me on Facebook at Leslie Md Greenberg Medical Disclaimer The content of this website is provided for general informational purposes only and is not intended as, nor should it be considered a substitute for, professional medical advice. Do not use the information on this website for diagnosing or treating any medical or health condition. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider.
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