زندگی بدون درد ----- Pain Free Life

ارائه راهکارهای مفید در زمینه فیزیوتراپی

زندگی بدون درد ----- Pain Free Life

ارائه راهکارهای مفید در زمینه فیزیوتراپی

  • Most common cause of foot pain in athletes. Occurs due to over use and stress on plantar fascia, which can result in tissue fatigue & micro tearing

  • Causes plantar fasciitis
    Overuse, due to over training, poor technique, running on hard surfaces or prolonged standing, dancing or running
    Predisposing factors
    Poor biomechanics – excessive pronation, supination of the subtalar joint or excessive external rotation of the hip joint while walking
    Short & tight gastrocnemius & soleus muscles, which predispose foot to pronation
    Improper footwear that is worn out, too flexible, stiff or does not provide adequate arch support.
    Weight gain. Including pregnancy, which stresses the plantar fasciaSymptom picture plantar fasciitis
    Can be unilateral or bilateral
    Symptoms range from mild to severe. Pain has initial slow onset, with no history of injury or trauma
    Tension is placed on plantar fascia with repeated use & overtime is unable to repair itself & is partially torn away from calcaneus. After an initial period of acute inflammation, chronic inflammation sets in, accompanied by adhesions & fibrosing of the fascia. The plantar fascia thickens with chronic inflammation. Healing is slow as poorly vascularised
    Pain occurs with the first few steps after non weight bearing (getting out of bed in the morning). Symptoms are worse during pre swing phase of gait cycle an during stair climbing. Pain lessen with activity (30-45mins) then intensifies 2-3 hrs later with continued activity. Usually relieved by rest
    Pain Is usually located on antero-inferior surface of calcaneus on weight bearing. It may also extend along medial border of plantar fascia toeards meta tarsal heads
    Pes planus, cavus & Achilles tendonitis are often present. With repeated stress a bone spur may develop on medial aspect of calcaneusTreatment plantar fasciitis
    Acute
    Hydrotherapy is cold to affected area
    Reduce edema if present
    Reduce sympathetic nervous system firing & pain
    Treat compensating structures
    Chronic
    Hydrotherapy deep moist heat prior to stretch. Contrast after, increase local circulation
    Reduce sympathetic nervous system firing & pain
    Treat compensating structures
    Cross fibre frictions used within clients pain tolerance
    Mobilize hypomobile ankle joints
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