Plantar Fasciitis and Bone Spurs- 大数跨境

脊康瑞医

2021-06-25

导读：Too much pressure on the plantar fascia can damage or tear the tissues, causing heel pain.

Plantar fasciitis (fashee-EYE-tiss) is the most common cause of pain on the bottom of the heel. Approximately 2 million patients are treated for this condition every year.

Plantar fasciitis occurs when the strong band of tissue that supports the arch of your foot becomes irritated and inflamed.

Anatomy

The plantar fascia is a long, thin ligament that lies directly beneath the skin on the bottom of your foot. It connects the heel to the front of your foot, and supports the arch of your foot.

The plantar fascia is a ligament that lies beneath the skin on the bottom of your foot.

Cause

The plantar fascia is designed to absorb the high stresses and strains we place on our feet. But, sometimes, too much pressure damages or tears the tissues. The body's natural response to injury is inflammation, which results in the heel pain and stiffness of plantar fasciitis.

Too much pressure on the plantar fascia can damage or tear the tissues, causing heel pain.

Risk Factors

In most cases, plantar fasciitis develops without a specific, identifiable reason. There are, however, many factors that can make you more prone to the condition:

· Tighter calf muscles that make it difficult to flex your foot and bring your toes up toward your shin

· Obesity

· Very high arch

· Repetitive impact activity (running/sports)

· New or increased activity

Nonsurgical Treatment

More than 90% of patients with plantar fasciitis will improve within 10 months of starting simple treatment methods.

Rest. Decreasing or even stopping the activities that make the pain worse is the first step in reducing the pain. You may need to stop athletic activities where your feet pound on hard surfaces (for example, running or step aerobics).

Ice. Rolling your foot over a cold water bottle or ice for 20 minutes is effective. This can be done 3 to 4 times a day.

Nonsteroidal anti-inflammatory medication. Drugs such as ibuprofen or naproxen reduce pain and inflammation. Using the medication for more than 1 month should be reviewed with your primary care doctor.

Exercise. Plantar fasciitis is aggravated by tight muscles in your feet and calves. Stretching your calves and plantar fascia is the most effective way to relieve the pain that comes with this condition.

· Calf stretch

Lean forward against a wall with one knee straight and the heel on the ground. Place the other leg in front, with the knee bent. To stretch the calf muscles and the heel cord, push your hips toward the wall in a controlled fashion. Hold the position for 10 seconds and relax. Repeat this exercise 20 times for each foot. A strong pull in the calf should be felt during the stretch.

· Plantar fascia stretch

This stretch is performed in the seated position. Cross your affected foot over the knee of your other leg. Grasp the toes of your painful foot and slowly pull them toward you in a controlled fashion. If it is difficult to reach your foot, wrap a towel around your big toe to help pull your toes toward you.

Placeyour other hand along the plantar fascia. The fascia should feel like a tight band along the bottom of your foot when stretched. Hold the stretch for 10 seconds. Repeat it 20 times for each foot. This exercise is best done in the morning before standing or walking.

Cortisone injections. Cortisone, a type of steroid, is a powerful anti-inflammatory medication. It can be injected into the plantar fascia to reduce inflammation and pain. Your doctor may limit your injections. Multiple steroid injections can cause the plantar fascia to rupture (tear), which can lead to a flat foot and chronic pain.

Supportive shoes and orthotics. Shoes with thick soles and extra cushioning can reduce pain with standing and walking. As you step and your heel strikes the ground, a significant amount of tension is placed on the fascia, which causes microtrauma (tiny tears in the tissue). A cushioned shoe or insert reduces this tension and the microtrauma that occurs with every step. Soft silicone heel pads are inexpensive and work by elevating and cushioning your heel. Pre-made or custom orthotics (shoe inserts) are also helpful.

This article is excerpted from：OrthoInfo.https://orthoinfo.aaos.org/en/diseases--conditions/plantar-fasciitis-and-bone-spurs

The copyright belongs to the original author, edited and published by JK-Clive Pain Clinic specializes

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Committee member of Chinese Football Association (CFA)

2009 Impuls Rehabilitation Center and Krankenhaus Sports Medicine Hospital, Germany

2010-2011 Orthopedic Department of University of Pittsburgh of Medicine

Center (UPMC) 2011 Hospital for Special Surgery (HSS), USA

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Attending neurosurgeon of Taichung Veterans General Hospital

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Graduate of Medical School of National Taiwan University

Research Scholar specializing in neuromodulation and pain management, UCLA

Taiwan Pain Society Distinguished Service Award 2015

Feng Lei

Attending physician of JK-Clive Pain Clinic

Graduated from the Department of Medicine, Peking University, MD

Attending physician of Beijing Ji shui tan hospital pain management department

Xu Hao

Orthopaedic specialist, sports specialist

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Physical Therapy Special Committee of Chinese Medical Association of Rehabilitation

Visiting scholar, University of Southern California, USA

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