Plantar fasciitis (also known as plantar fasciopathy or jogger's heel) is a common painful disorder affecting the heel and underside of the foot. It is a disorder of the insertion site of ligament on the bone and is characterized by scarring, inflammation, or structural breakdown of the foot's plantar fascia. It is often caused by overuse injury of the plantar fascia, increases in exercise, weight, or age. The plantar fascia is the thick tissue on the bottom of the foot. It connects the heel bone to the toes and creates the arch of the foot. When this tissue becomes swollen or inflamed, it is called plantar fasciitis.
According to a new study from the Journal of Bone and Joint Surgery (JBJS), patients with acute plantar fasciitis who perform manual plantar fasciitis stretching exercises, as opposed to shockwave therapy, had superior results and higher patient satisfaction.
Study details and findings:
A total of 102 patients who had acute plantar fasciitis pain, were randomly assigned to two groups. Acute is defined as any patient that experiences pain for less than six weeks. 54 people performed an eight-week stretching program, while 48 people received repetitive low-energy radial shock-wave therapy once a week for three weeks. Each group was asked to refrain from any other forms of physical therapy.
Patients in the stretching group, were told to perform stretching exercises three times a day, for eight weeks. All patients were contacted by phone every two weeks to check on training compliance. After four weeks, the patients were told to slowly return to their previous sport and/or recreational activity. Patients in group two received three sessions of radial shock-wave therapy, three times a week.
Patients were given follow-up evaluations at two, four and fifteen months. At both the two and fourth month evaluation, 65 percent of patients who performed the plantar fascia-specific stretch reported total satisfaction with treatment or satisfaction with treatment with minor reservations. Only 29 percent did so after shockwave therapy.
John Furia, MD, an orthopaedic surgeon in Pennsylvania and one of the study authors added that those who develop plantar fascia pain should begin non-operative treatment promptly. "The earlier you understand how stretching fits in, and the earlier you learn how frequently to perform the simple plantar stretch, the less likely you will require a more invasive treatment method," stated Dr. Furia. "Shockwave therapy has been shown to be a very effective treatment for patients with chronic plantar fasciitis (pain for more than six to eight weeks), however acute cases are probably best treated with more simple measures," he added.
How to do the stretch:
According to the American Academy of Orthopaedic Surgeons (AAOS), this stretch should be performed in the seated position. Cross your affected foot over the knee of your other leg. Grasp the toes of your painful foot and bring your ankle up and your toes up. Place your thumb along the plantar fascia and rub it to stretch it. The fascia should feel like a tight band along the bottom of your foot when stretched. Hold the stretch for 10 seconds. Repeat it 10-20 times for each foot. Dr. Furia and Dr. Judy Baumhauer, orthopaedic surgeon and president-elect of the American Orthopaedic Foot and Ankle Society (AOFAS) recommend that this exercise be performed initially in the morning, before getting out of bed and after any long periods of sitting. If there is a sharp pain in your heel when getting up, a stretch should have been done before standing or walking. Dr. Baumhauer gives her patients a visual as a reference for this exercise.
Dr. Baumhauer, who was not involved in this study, has been counseling patients on the plantar fascia stretch for 15 years. "I am a firm believer in this type of stretch and nearly 80 percent of my patients have shown improvement in just eight weeks of stretching therapy."
Disclosure: Both Dr. Furia and Dr. Baumhauer have nothing related to this study to disclose.
The AAOS has more information about plantar fasciitis at www.orthoinfo.org
To find an orthopaedic surgeons specializing in foot and ankle disorders, visit www.aofas.org
Most people with plantar fasciitis have pain when they take their first steps after they get out of bed or sit for a long time. You may have less stiffness and pain after you take a few steps. But your foot may hurt more as the day goes on. It may hurt the most when you climb stairs or after you stand for a long time.
• Have your say! Add your comment or discuss this article on our FaceBook Page.
|1 : Dripping Candle Wax Bone Disease (Melorheostosis) Cause Solved : NIH/National Institute of Arthritis and Musculoskeletal and Skin Diseases.|
|2 : Research Helps Explain Why People Experience Muscle Loss in Old Age : The Physiological Society.|
|3 : Tendinitis and Bursitis: Staying Active While Healing : Melissa Chefec.|
|4 : Hip Impingement: Symptoms, Causes & Treatment : Thomas C. Weiss.|
|5 : Difference Between Carpal Tunnel Syndrome and Tarsal Tunnel Syndrome : Disabled World.|
|From our Bones & Joints - Conditions section - Full List (73 Items)|
Submit disability news, coming events, as well as assistive technology product news and reviews.
Loan Information for low income singles, families, seniors and disabled. Includes home, vehicle and personal loans.
Famous People with Disabilities - Well known people with disabilities and conditions who contributed to society.
|1 : Turnstone Center Designated as Official Paralympic Training Site by US Olympic Committee|
|2 : Help Your Child in School by Adding Language to The Math|
|3 : 50% of Retirees Saw Little or No COLA Increase in Net 2018 Social Security Benefits|
|4 : Turnstone Endeavor Games Concludes with National Records Broken|
|5 : Spinning in Circles and Learning From Myself by Tsara Shelton|
|6 : St. Louis HELP Medical Equipment Donation Drive Generates Record-Breaking Results|
|7 : People Who Snore Suffer from Palate Nerve and Muscle Damage|
|8 : How Our Ancestors with Autistic Traits Led a Revolution in Ice Age Art|