Plantar Fasciitis pain can be extremely uncomfortable. What happens is a strain or rupture occurs on the connective tissue in the sole of the foot. This is known as the platar fascia. Plantar fasciitis can cause pain to many athletes and create discomfort when performing their sport. Typically, the pain occurs most as the foot is lifting in preparation to take its next step. The stretch happens right in the middle of the arch during that time or in the heel area. Individuals who suffer from platar fasciitis pain often need to take measures to get the pain under control. Therapies include ice baths, avoiding shoes that are too flexible or too tight, and wearing custom 3-D printed foot orthotics. Custom 3-D printed foot orthotics are a great approach to dealing with any kind of foot or low back pain. The orthotics are made by first having patients stand on a high tech footlevelers kiosk that sends an inferred light through. This measures the places patients are putting pressure on their feet as well as the differences they may have in their arches. From here, we are able to see a comprehensive view of the patient’s alignment in their feet, ankles, knees, hips, and spine. These scans also provide information regarding the patient’s posture. All of these issues may seem small but they all stem from the feet and the arches. Those with platar fasciitis will greatly benefit from using technology such as this. By providing pressure in the correct areas of the foot, the orthotic will work at a biomechanical level. Dr. Alexander Jimenez makes it a point to have all his patients scanned. With this information, they become informed of their feet and the pressure points that could be causing underlying issues. – Kenna Vaughn, Senior Health Coach
I’m Dr. Kennedy, and I’m going to talk to you today about plantar fasciitis, which I know you know, is very, very common symptoms and presentation. They have pain in the arch or in the heel area.
And the definition, acute or semi acute injury that occurs as a strain or partial rupture of the firm band of connective tissue, which is the plantar fascia on the sole, the foot etiology and excessive stretching of the plantar fascia may be produced by excessive long periods of foot pronation or landing hard on the sole, the foot or instant foot acceleration and deceleration. So upon examination, you’re going to find some swelling, possible spasm, gait distortion and loss of strength. Imaging, It’s negative initially. Chronic cases may show calcification at the calcaneal insertion. You won’t see muscle imbalances. Flexor digitorum brevis and all and anti pronators those supporting the arches. Management of this condition, of course you’re gonna manipulate the foot for biomechanical faults with emphasis on the calcaneus. Recommend daily ice sessions, usually 20 minutes followed by pain free ankle acute phase. Then you move into sports activity limited to pain tolerance, shock and pronation control with custom-made flexible orthotics based on biomechanical need. And on that note, I just think that without that step it’s really pointless to go any further, I think. You must have those custom orthotics, ankle strengthening, of course physiotherapy modalities that you would believe would help. And shoes can’t be too flexible or too tight. Any exercises? We also recommend the ankle series. And just as a side note, prevention obviously fit for their custom made flexible orthotics. And of course, based on biomechanical knee shock absorption and pronation controlling shoes and definitely encourage your patients not to run through this pain.
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Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*
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Dr. Alex Jimenez DC, MSACP, CIFM*, IFMCP*, ATN*, CCST
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