Providence, RI - 401.421.7414
Pawtucket, RI - 401.725.2112
East Providence, RI - 401.435.2002
Central Falls, RI - 401.365.1212
Plantar Fasciitis
WHAT IS PLANTAR FASCIITIS?
Plantar fasciitis (PLAN-tur fas-e-I-tis) is one of the most common causes of heel pain. It involves pain and inflammation of a thick band of tissue, called the plantar fascia, which runs across the bottom of your foot, connecting your heel bone to your toes. Plantar fasciitis is irritation and swelling of the thick tissue on the bottom of the foot.
This condition is one of the most common orthopedic complaints relating to the foot.
Plantar fasciitis is commonly thought of as being caused by a heel spur, but research has found that this is not the case. On x-ray, heel spurs are seen in people both with and without plantar fasciitis.
SYMPTOMS
The most common complaint is pain in the bottom of the heel. It is usually worse in the morning and may improve throughout the day. By the end of the day the pain may be replaced by a dull aching that improves with rest.
Most people complain of increased heel pain after walking for a long period of time.
TYPICAL PHYSICAL EXAM FINDINGS INCLUDE:
- Mild swelling
- Redness
- Tenderness on the bottom of the heel
X-rays may be taken to rule out other problems, but having a heel spur is not significant.
Plantar fasciitis is particularly common in patients with:
- Foot and arch problems (both flat foot and high arches.)
- Tight Achilles Tendon (the tendon connecting the calf muscles to the heel.)
- High impact lifestyles, like runners
- Obesity and weight issues.
- Women who are pregnant.
- Inadequate arch support, proper shoe wear can lower the risk of plantar fasciitis.
TREATMENT
Conservative treatment is almost always successful, given enough time. Treatment can last from 1-3 months before symptoms get better. Most patients will improve with chiropractic care.
Initial treatment usually consists of:
- Heel stretching exercises
- Shoe inserts or Foot Leveler Orthotics.
- Low level laser treatments.
About 90% of the people who have plantar fasciitis recover with conservative treatments in just a few months.
PROGNOSIS
Nearly all patients will improve within one year of beginning non-surgical therapy, with no long-term problems. In the few patients requiring surgery, most have achieved relief from their heel pain.
COMPLICATIONS
Complications with surgery include:
- Infection
- Nerve injury
- No improvement in pain
- Rupture of the plantar fascia
With other treatments, a complication is continued pain.
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INJURED AT WORK?
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Dr. Gregory DeCrescenzo and Dr. Shadi Shakoori are proud members of the American Chiropactic Association. ACA promotes the highest standards of ethics and patient care, contributing to the health and well-being of millions of chiropractic patients.
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East Providence
160 Taunton Avenue
East Providence, RI 02914
Phone: 401.435.2002
Fax: 401.435.3553
Pawtucket
1168 Newport Ave
Pawtucket, RI 02861
Phone: 401.725.2112
Fax: 401.725.0066
Providence
231 Douglas Avenue
Providence, RI 02908
Phone: 401.421.7414
Fax: 401.421.7415
Central Falls
1084 Broad Street
Central Falls, RI 02863
Phone: 401.365.1212
Fax: 401.365.1214

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