Plantar Fasciitis Treatment San Francisco

By Serena Price


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.

Approximately 90 percent of people that suffer from the condition will recover after just a few months of conservative treatments. There is the option of using medications, for instance non-steroidal anti-inflammatory drugs. These include ibuprofen and naproxen that will ease pain and inflammation but never treat the causes of the condition. The other type of drugs used is corticosteroids that are normally delivered through the process of iontophoresis. This involves application of corticosteroid solution to the skin, over the area that is painful. Absorption of the medication is achieved by non-painful electric current.

Injection is also a technique that can be used for applying the solution. The use of multiple injections is not advisable as it is known to weaken plantar fascia and thereby causing it to rupture. This would also have the effect of making the fat pad that covers the heel bone to shrink. For the injection to be placed more accurately, ultrasound guidance may be used.

The use of stretching and strengthening exercises will provide relief from symptoms. Specialized devices may also be used. An example of the exercises is physical therapy. Physical therapists will instruct their patients on series of exercises to stretch the Achilles tendon and strengthen lower muscles of the legs. This will in the long run stabilize the heels and ankles. Patients will also be taught how to apply athletic taping for supporting the bottom of the foot.

Also effective in curing the condition is use of night splints. Physical therapists or doctors will at certain times recommend wearing of splints which are designed to stretch the calf and arch of feet when one is seeping. Plantar fascia and Achilles tendons are held in lengthened position throughout the night such that stretching is facilitated. Doctors can also prescribe off the shelf supports called orthotics. These assist in distributing pressure to feet.

In case the conservative methods fail to work, there are two main procedures that can be used. The first is extracorporeal shock wave therapy. It involves the direction of sound waves at the area where there is pain for stimulation of healing. It is used in the case of more chronic conditions. The procedure is known to cause swelling, bruises, numbness, pain or tingling. There is no surety whether it is consistently effective.

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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