Plantar Fasciitis Night Splint
11 Mar 2014 - 12:32:49 am
Treatment for plantar fasciitis should begin with rest, icing, and over the counter medications. As mentioned above, an orthotic is a device that can be slipped into any pair of shoes and can often relieve pain and help to reverse the damage and occurrence of plantar fasciitis. They do this by adding support to the heel and helping to distribute weight during movement. In addition to orthotics, many people consider night splints for treating this condition. These devices are worn during the night while you sleep, helping to keep the plantar fascia stretched to promote healing. Physical therapy has also become a common option.
If your foot flattens or becomes unstable during critical times in the walking or running cycle, the attachment of the plantar fascia into your heel bone may begin to stretch and pull away from the heel bone. This will result in pain and possibly swelling. The pain is especially noticeable when you push off with your toes while walking. Since this movement stretches the already injured portion of the fascia. Without treatment the pain will usually spread around the heel. The pain is usually centeredat a location just in front of the heel toward the arch. This results in the development of a heel spur.
Wearing good shoes at all times is very important in treating plantar fasciitis and avoiding it in the first place. Often wearing badly fitting or constructed shoes can cause plantar fasciitis Avoid walking barefoot or wearing flip-flops as the lack of cushioning for the heel can damage the plantar fascia. The best shoes for treating plantar fasciitis should have low heels (for ladies, try to avoid any heels over 3 inches), a well-cushioned sole, and sufficient arch support. Many shoes tend to not have enough cushioning, particularly at the heelbone and front foot, and don't provide adequate amount of structural support around the arch and mid-foot.
There are many factors that can lead to an occurrence or re-occurrence of plantar fasciitis. Although plantar fasciitis can influence mechanical malfunctions of the foot during movement, as already mentioned, these malfunctions can also cause plantar fasciitis. Having flat feet, for example, is a common condition where the arch of the foot drops. The result is abnormal wear and tear on the plantar fascia that can lead to a damaged fascia. Pronation, high arches, and a tight Achilles tendon are also biomechanical factors that can add stress and pull the plantar fascia too much, causing tears in the tissue.
Plantar fasciitis is a painful inflammatory condition of the foot caused by excessive wear to the plantar fascia or plantar aponeurosis that supports the arches of the foot or by biomechanical faults that cause abnormal pronation 1 The pain usually is felt on the underside of the heel , and is often most intense with the first steps of the day. It is commonly associated with long periods of weight bearing or sudden changes in weight bearing or activity. Jobs that require a lot of walking on hard surfaces, shoes with little or no arch support, a sudden increase in weight and over activity are also associated with the condition.
Foot Orthotics , is the only non-surgical therapy to have been supported by studies rated by the Center for Evidence-Based Medicine as being of high quality. Landorf et al. performed a single-blind experiment in which patients were randomly assigned to receive off-the-shelf orthotics, personally customized orthotics, or sham orthotics made of soft, thin foam. Patients receiving real orthotics showed statistically significant short-term improvements in functionality compared to those receiving the sham treatment. There was no statistically significant reduction in pain, and there was no long-term effect when the patients were re-evaluated after 12 months.
Of all the hours I spent reading and researching a plantar fasciitis cure or remedy, my lightbulb moment came by surprise. In the As Seen on TV section of a store I saw Yoga Toes. Yoga Toes is a small bubbled ladder that goes between your toes to stretch out the ligaments and tendons in your foot side to side. But it was $30. So I wondered if I could think of something else that would stretch out my feet in the same way but cheaper. Then I thought of the foam pedicure toe separators. They were only $1 a pair.
Why are some people troubled by plantar fasciitis, while others remain relatively pf-free? Research suggests that pf is often associated with a change in activity (like a sudden increase in the volume or intensity of training or a simple expansion of the total time you spend on your feet). Using worn-out shoes, especially while running on pavement or hard ground, also seems to increase the risk Individuals with flat feet are said to be at higher risk for plantar fasciitis, and - somewhat paradoxically - so are people with high arches.
Patients try various remedies for the treatment of plantar fasciitis. Surgery is only the last option. PF insoles are proven to work for several people. Insole treatment is now considered a long-lasting solution to PF and various other foot related problems. Insoles very gently reposition your feet by acting on the arches. A good arch support is fitted inside your shoe according to a prescribed plan of use recommended by your podiatrist. Over a period of time, the arch supports become gentler which helps in the healing process. With the progression of the therapy, the focus is on maintaining the right alignment instead of changing it.
For more severe cases, surgery and other advanced treatments are often necessary. One example is the shock wave therapy. Here, the doctor needs to make use of sound waves to stimulate the affected area and treat it. This is often used for cases that have not received good results from conventional treatments mentioned earlier. The problem is that shock wave therapy often causes bruises and temporary pain. Surgery is the last resort. During surgery, doctors will have to remove or detach the never connecting the foot to the toes. This is necessary when the pain is almost unbearable already.