Plantar fasciitis: what is it and how to treat it?

Plantar (plantar) fasciitis

Plantar (plantar) fasciitis is a disease of a strained ligament lining the inside of the pit of the foot.

It connects the plural and calcaneal bones, allows to form the necessary bend of the arch of the foot, strengthens the stability when walking.

The popular name of the disease is the heel spur.

In the International Classification of Diseases (ICD-10), pathology is included in the class of diseases of the musculoskeletal system and connective tissue, into the group "Other soft tissue diseases" with fibroblastic violations. Has the code M 72.2.

What happens in the foot?

Initial changes in the fascia are associated with inflammation. It is located closer to the heel bone. Plantar fasciitis arises from the loss of the ability of the fascia to cope with microfractures by itself under tension and mechanical trauma to the foot.

With time, dystrophic changes begin in this area. The fascia loses its elasticity, does not respond to stretching, thickens. Salts of calcium are deposited in the tissue. This forms an additional bone protrusion. This is the heel spur.

The fascia pulls on itself and the Achilles tendon, so the muscles of the shins suffer.

Causes of pathology

Plantar fasciitis develops from a strong and prolonged overload of the ligament. Therefore, suffer from symptoms of the disease in middle and old age. The disease is very often observed in people of the ballet profession, athletes, athletes, weightlifters.

The main reasons contributing to changes in the fascia are:

1. excess weight;
2. work with a long stay "on your feet
3. flat feet and high arch of foot are equally dangerous;
4. incorrect position of the foot with turning outward (pronation), when the shoes are trampled from the inside;
5. inflammatory and degenerative diseases of the joints of the legs (arthrosis-arthritis);
6. wearing tight shoes with or without high heels;
7. violation of the blood supply of the lower limbs in connection with obliterating atherosclerosis;
8. osteochondrosis of the lumbar spine.

Clinical manifestations

Symptoms of the disease are so typical that the diagnosis is established independently. Plantar fasciitis manifests itself:

• Pain in the heel, which occur when trying to step on the foot in the morning after sleep, after a long sitting. The man cries out for sudden pain. After a long walk intensifies, by the evening on foot it is impossible to step on.
• When bone "spur" is formed, the pain is sharp, as when contacting sharp objects. Patients are forced to use sticks or crutches.
• Pain in the ankles, the thumb and the arch of the foot.
• The change in the shape of the foot, manifested in deformation (contracture) due to shortening and densification of the fascia, forced bending of the fingers.

Sometimes patients notice cramps in the foot when trying to get up or at night.

Diagnostics

Diagnosis is based on examination of the doctor, which reveals painful points under the heel, swelling.

On the roentgenogram, there are sprouting on the sides of the calcaneus.

Patients are not sure which doctor to consult if there are listed symptoms. In territorial polyclinics this pathology is dealt with by orthopedic traumatologists. If there is no such specialist, then sign up for an appointment with a surgeon.

Palpation of the foot gives an idea of ​​the density and degree of tension of the fascia

How to treat plantar fasciitis?

Treatment of plantar fasciitis must be combined with getting rid of the factors that led to the disease:

1. follow the weight, arrange unloading days;
2. may have to change jobs and even abandon the profession;
3. reduce or stop sports activities;
4. to change the size of shoes to a more loose, heel is needed, but not more than 3 cm;
5. special insoles-orthoses allow artificially restore the desired arch of foot, reduce the load on the fascia.

There is an orthopedic footwear worn for the night (tires). It allows you to relax the ligaments of your foot as much as possible.

Massage for stretching the fascia

To stretch a thick thickened ligament, a foot arch massage is used, which you can do yourself several times a day.

To do this, it is necessary to squeeze the brush into a tight fist and with the knuckles of the fingers, massage the arch of the foot with very strong circular motions, then unbend and pull the toes alternately.

Stretching exercises

Exercises are the load on the muscle extensors. They should be done 10 minutes 2-3 times a day.

• Roll on a hard surface a tennis ball or a rolling pin.
• Place a towel on the arch of the foot and use it to pull the toe. Hold in this position first for a few seconds, then longer.
• Put your hands in the wall, put one foot next to each other, and take the other back to the toe. Try to stretch the shin of the "back" leg, lowering it on the heel, and slightly bending the knee of the "front" limb.

The tension contributes to the gradual elongation of the fascia

Physiotherapeutic procedures

Physiotherapy helps to remove inflammation from the fascia, normalize metabolic processes. Apply courses:

1. ultrasound,
2. laser therapy,
3. shock-wave procedures,
4. mud applications with natural bioactive substances.

Local funds

Also read:How to heal the heel spurs at home?

In the therapy of plantar fasciitis, anesthetics and anti-inflammatory drugs have to be used in the form of tablets, ointments.

Similar properties are possessed by Ibuprofen, Naproxen. On the prescription of the doctor hormonal preparations are used.

At home, you can rub the foot with ointments containing herbal and natural ingredients, make compresses at night.

• Cream "Fascite stop" includes comfrey grass based on shark fat.
• "Golden mustache in addition to shark fat, contains an extract of saber, plantain, bay leaves, propolis, fir oil, eucalyptus, corn.

The surgical method is rarely used only if a complete rupture of the ligament is threatened.

Folk methods

Therapy with folk remedies supplements massage and physiotherapy procedures, is based on proven natural substances.

Healers recommend the local use of ointments and compresses after a 15-minute foot bath with sea salt.

It relaxes muscles and enhances the penetration of ointment components through the skin.
You can add a few drops of iodine to the water.

With a therapeutic purpose, it is advised to use baths from the decoction of the rind of unripened walnuts.

Herb of the saber for the compress must first be prepared. To do this, crush the root, 2 full tablespoons pour ¼ cup hot water and leave to infuse for 2 hours.

After that, the steamed roots are grinded into a soft mass and applied to the heel area. The compress is fixed with a bandage, surrounded with cellophane and put on a tight sock.

It is best to spend the treatment at night.

Tincture of red elderberry for grinding is prepared from ripe or dry berries. They pour vodka and pre-insist in a dark place for 2 weeks. You can rub the painful areas several times a day.

The same tincture can be prepared from the pulp of a sunflower head.

It is necessary to remember the possibility of an allergic reaction to medicines and combinations from plants. When itching, the appearance of skin rashes, the use of the drug should be discontinued and consult a doctor.

Different sources promise improvement after 6-9 months of treatment. Do not despair! Be patient and the expected result will definitely come.

A source: http://MoyaSpina.ru/bolezni/podoshvennyy-plantarnyy-fasciit

Plantar fasciitis: causes, symptoms and methods of treatment

When walking and exercising, the muscles and bone system experience colossal pressure. The legs suffer most of the others, which take on the entire weight of a person, which is why it is possible to develop such an unpleasant disease as plantar or plantar fasciitis.

This is one of the most common pathologies diagnosed by the orthopedist - more than 10% of all diseases of the musculoskeletal system.

With the aggravation of the course of the disease, it becomes the cause of the growth of the periosteum - the formation of osteophytes, spine-like growths, called the calcaneal spur.

Plantar fasciitis and heel spur

Mechanism of development and symptomatology

The plantar fascia is attached to the heel of the foot, supporting the longitudinal arch of the foot. With systematic or increased loads, the ligament undergoes mechanical trauma, which causes the development of the inflammatory process.

With normal functioning of the body and the absence of serious pathologies, self-healing occurs in most cases.

Regenerative abilities compensate microfractures, the fascia tissue recovers and the disease disappears without even beginning.

However, with the instability of the work of individual organ systems, reduced immunity or other malfunctions, the regress of the inflammatory process does not occur. The fabric of the plantar ligament is gradually replaced by the connective, the elasticity of the aponeurosis decreases, painful sensations arise.

Plantar fasciitis is a secondary pathology that develops against other diseases that contribute to its progression. Symptoms usually appear at an increasing rate. Initially, the patient is concerned only with pain with long walking or running, increased fatigue.

Then unpleasant sensations increase, arise at any attempts to rise or walk. With insufficient treatment of plantar fasciitis, the pain becomes permanent. Many patients compare her character with a stuck nail in the heel. She does not leave a person even at rest.

Microfractures in plantar fascia and formation of hematoma

The disease causes degeneration of the structure of the plantar fascia, which leads to

1. Change gait;
2. Clubfoot;
3. Appearance of calcaneal spurs;
4. Lame.

The clinical picture is quite bright:

• Morning pain;
• A clear localization of pain with recoil into the gastrocnemius muscle and toes is determined;
• The nature of pain is sharp, cutting.

Acute pain comparable to nail in heel

The plantar fasciitis is affected mainly by people over 40 years of age, when the age-related changes in the body affect the normal course of standard processes.

There are periodic disruptions in the work of the cardiovascular system, the bones become less sturdy, the development of age-related pathologies - diabetes mellitus, thrombosis - is observed.

Etiology

In the international classification of diseases of the 10th revision, the disease has the code M72.2 and is related to pathologies of connective tissue and the musculoskeletal system. The causes of plantar fasciitis are diverse, but mainly include various disorders precisely within the bone system:

1. Degenerative changes in joints;
2. Flat-footed;
3. Congenital defects of calcaneus.

In ICD-10, under the source of development of pathology is understood the loss of fascia ability to regenerate. In addition to the above, experts note the following reasons:

• Long-term wearing of uncomfortable or tight shoes, abuse of shoes with high and unstable heels;
• Circulatory disturbances in the legs;
• Thrombosis, varicose veins;
• Long-term stress on the legs, work associated with sports or serious physical stress;
• Salt deposits;
• Excess weight;
• Clubfoot;
• Gout;
• High rise of the foot;
• Atherosclerosis;
• Diabetes;
• Age changes in the structure of bone and connective tissues.

Plantar fasciitis of the foot develops due to irrational lifestyle, bad habits and excessive loads.

This set of factors may not lead to the emergence of an ailment, but over time, accumulated toxins, slags, food debris, fats, against hypodynamia and vitamin deficiency necessarily lead to a number of irregularities in normal activities organism.

Diagnostics

Usually, it is enough to visually inspect and collect an anamnesis for diagnosis, but if you have patient accompanying pathologies with identical symptoms, it is necessary to differentiate them from inflammation plantar ligament.

Plantar fasciitis in its manifestations and symptoms may be similar to rheumatoid arthritis or Reiter's syndrome. In order to assign the right therapy scheme, you need to know exactly the nature of the disease, its root causes and the path of development.

To diagnose the spurs on the heel, a radiograph of the foot is made to ascertain the bone formation, However, at the initial stage, when the inflammatory process has just begun, no wedge-shaped proliferation may be.

In this case, the patient is referred for general and biochemical blood tests. An increased level of leukocytes will show the presence of inflammation in the body. Additionally, MRI and ultrasound of the heel, weighing, and analyzes for sugar levels can be prescribed.

Palpation of the foot and radiography - mandatory procedures for diagnosis

To determine the cause of the orthopedist carefully collects information about the nature of pain, concomitant manifestations, duration of unpleasant sensations. Symptoms and treatment of plantar fasciitis are inextricably linked: the specialist selects the elimination scheme pathology, referring to its signs, which determine the stage of its development and the intensity of negative dynamics.

Therapy

Standard medical practice presupposes conservative treatment of fasciitis. Radical methods of elimination are applied if sparing therapy does not lead to any result.

There is an extensive list of possible techniques for getting rid of the diagnosis of fasciitis of the heel: medication, physiotherapy, massage, exercise therapy, folk remedies.

The expediency of using any of the options is determined by the doctor in each specific case.

Physiotherapy

Before deciding how to treat plantar fasciitis, it is necessary to study all the methods of physiotherapeutic intervention. The most popular method is shock wave therapy. In addition to it, there are the following hardware capabilities of modern medicine:

• Ultrasound therapy;
• Balneotherapy;
• Magnetotherapy;
• Electrophoresis;
• Infrared and ultraviolet radiation;
• X-ray therapy.

Phonophoresis with hydrocortisone

All these methods help to improve blood circulation in the fascia tissue, relieve pain, relax the muscles of the foot. If you steadfastly follow the doctor's advice on the number of procedures, their duration and the duration of the general course of therapy, the desired result can be achieved very soon.

Massage

With the help of massage, it became possible to treat plantar fasciitis at home.

In addition to the fact that this method is pleasant in itself, it can be used outside the hospital walls and, without changing the usual situation, which positively affects the patient's condition and his attitude to the problem on the psychological level.

Massage helps to reduce puffiness, influx of blood to the legs, which makes it possible to make it more elastic and elastic. Inflow of lymph to the damaged tissues enriches them with oxygen and nutrients.

Exercise therapy

The inhibition of regeneration in spurs is caused by the loss of the ability of the plantar ligament to the extensibility necessary for movement, the commission of any actions. Treatment of plantar fasciitis through special exercises helps to develop muscle tissue, and reduce the risk of injury.

Orthopedists have developed a whole complex of training in order to get rid of an unpleasant disease and reduce the risk of its recurrence.

Exercises can be performed at home, before consulting with a specialist.

Periodicity and the number of approaches are also discussed with the doctor depending on the individual characteristics of the patient.

Medicines

If non-pharmacological agents are unable to cope with the disease, the question arises as to what drugs help with plantar fasciitis.

In view of the characteristics of the disease and the main symptomatology, oral medications include pain medications pills that help to alleviate the patient's condition and partially restore his ability to work and opportunities move.

The drugs used specifically for the treatment of fasciitis are various ointments.

Among the most common ointments are Hydrocortisone, Prednisolone, Vishnevsky Ointment.

Specialized ointments from plantar fasciitis are:

1. Golden mustache;
2. Cream Ortho Tiger's eye;
3. Shark oil;
4. Crock Honey;
5. Cream-balm Shporon;
6. Stop Spur.

ethnoscience

Before treating plantar fasciitis with the methods of alternative medicine, you should consult with a specialist about its effectiveness and allowed components.

Popular among the population are ointments, compresses and lotions, made on the basis of natural ingredients. Such therapy is not capable of damaging the patient, but its effectiveness is not always sufficient.

At the advanced stages of the disease, the patient can be helped only by radical surgical intervention.

Treatment of plantar fasciitis gives a quick and visible result only under the condition of timeliness.

When the disease has not yet caused deformity and degeneration of the plantar ligament structure, medicinal herbs and medications along with exercise therapy and massage will have a positive effect.

However, if the patient stubbornly refuses to contact a specialist and hopes for his own knowledge and strength, the process can take a long time.

Prevention

To avoid the occurrence of pathology, daily follow simple rules. Measures for the prevention of plantar fasciitis include:

• Proper nutrition;
• Use of comfortable shoes;
• Adequacy of physical activity;
• Maintaining a normal weight;
• Stretching before sports training, performed to prepare all muscle groups for the upcoming load.

Such a disease as a fasciitis of the sole can occur in any person. To insure for 100% of this unpleasant phenomenon is impossible, but following preventive recommendations and exclusion of the majority of possible causes of the development of the disease will reduce the risks of occurrence.

The most important thing is to carefully monitor the condition of your bone system and react sensitively to body signals, In this case, it is possible to prevent destructive processes and get rid of the disease in the very beginning. Warn plantar inflammation is always easier than cure

A source: https://NogivNorme.ru/bolezni/pyatochnaya-shpora/plantarnyj-fasciit.html

Plantar fasciitis

Plantar fasciitis is a disease that is caused by inflammatory-degenerative changes in the tissues of the plantar fascia and is accompanied by pain in the heel during exercise.

1. Causes
2. Symptoms
3. Diagnostics
4. Treatment
5. Forecast
6. Prevention
7. (1)

Plantar fascia (plantar aponeurosis) is a dense connective tissue that is attached to the calcaneus and phalanges of the fingers.

Its main function is the formation and support of the longitudinal arch of the foot. If a person is standing, half of his weight puts pressure on the plantar aponeurosis.

A high load provokes its micro-ruptures in the area, which is attached to the heel of the heel.

In many cases, during the time in the vertical position (during the sleep period) the injuries regress themselves. But under the influence of unfavorable factors, fascia ruptures are repeated.

As a result, plantar fasciitis develops, the cause of which is a permanent microtraumatism of the aponeurosis, leading to aseptic inflammation of the tissues and the development of pain sensations.

From the plantar fasciitis of the heel, women more than 40 years old are more likely to suffer. The probability of developing the disease is increased by the following unfavorable factors:

• overweight;
• exercise in which there is a prolonged load on the heel or on the Achilles tendon;
• flat feet or too high arch of foot;
• podvorachivanie foot inside while walking;
• wearing uncomfortable shoes;
• diseases of the musculoskeletal system;
• injuries;
• gout.

Chronic plantar fasciitis with time can lead to the formation of heel spurs - bone growth (osteophyte), which occurs as a result of the deposition of calcium salts.

The main symptom of plantar fasciitis is pain in the region of the heel. Unpleasant feelings arise or increase with exercise.

In the morning they are most pronounced, then gradually subside. This is due to the rupture of the fascia that has grown together during the night sleep.

The formation of the calcaneal spur can increase the intensity of the symptoms of the plantar fasciitis of the foot, since the bony expansions press on the surrounding tissues. In many cases, the osteophyte does not manifest itself.

Plantar fasciitis is diagnosed on the basis of an analysis of complaints and examination. In addition, the radiography is assigned, which allows to detect the heel spur.

During the examination, plantar fasciitis is differentiated from such diseases as:

1. tarsal tunnel syndrome;
2. rheumatoid arthritis;
3. Reiter's syndrome and so on.

Treatment of plantar fasciitis is determined by the severity of its symptoms. In light cases, the main directions of therapy are to ensure unloading of plantar aponeurosis and elimination of inflammation of soft tissues.

Unloading the plantar fascia is achieved by reducing physical activity and periodic rest during walking. The main methods of therapy are gymnastics, tapping and the use of special devices for the foot.

The purpose of exercises with fasciitis is the stretching, strengthening and increasing the elasticity of the aponeurosis. They need to be done every morning after the warm-up.

The regular performance of gymnastics contributes to the elongation of the plantar fascia. As a result, pain is reduced and trauma is prevented in the future.

After exercise therapy, the foot is taped - the application of an elastic band (teip) or plaster to support the longitudinal arch and fix the aponeurosis. When applying teip, it is necessary to increase its tension when it traverses the leg from below.

To improve the effectiveness of treatment of plantar fasciitis in the home, braces or orthoses are used - devices that fix the foot at a right angle.

They put on all night and do not allow the aponeurosis to shorten.

In the daytime, patients with fasciitis are advised to wear orthopedic shoes or insoles with an instep and a groove in the center of the heel.

To relieve inflammation of the tissues and reduce pain, the following practices are practiced:

• massage;
• applying ice;
• rubbing with warming and anti-inflammatory drugs;
• mud applications;
• warm baths for feet;
• Analgesics - ibuprofen, acetylsalicylic acid, naproxen.

How to treat plantar fasciitis in severe cases? At the expressed unpleasant sensations and essential bone extensions the following methods are used:

1. injection injection into the foot tissues of glucocorticoids in combination with anesthetics;
2. shock wave therapy for the destruction of the calcaneal spur;
3. laser or ultrasound effect on inflamed tissues.

If the conservative treatment of plantar fasciitis is ineffective, an operation is performed during which the osteophyte and the altered parts of the fascia are removed.

Plantar fasciitis has a favorable prognosis. In advanced cases, the course of the disease may worsen due to a fracture of the calcaneal spur.

The main measures for the prevention of plantar fasciitis:

• wearing orthopedic shoes;
• adequate physical activity;
• maintaining a normal weight;
• treatment of pathologies of the musculoskeletal system.

A source: https://liqmed.ru/disease/plantarnyj-fasciit/

Plantar fasciitis: symptoms and treatment

Category: Joints, bones, muscles 14799

About what is plantar fasciitis, many people know firsthand - in the people this pathology is called only "calcaneal spur".

This disease develops as a result of overstrain of the ligament, which lining the inner side of the fossa of the foot.

This ligament connects the heel bone and metatarsal, creating the bend of the arch of the foot, which is necessary for stability during walking.

Plantar or otherwise plantar fasciitis is an inflammatory phenomenon.

It initially localizes in the calcaneus region, and with time, deformation changes occur at the site of the lesion with densification of the tissues and the appearance of the bone protrusion due to the deposition of salts in this place, which is called the heel spur.

Note that this fascia of the foot is one of the strongest in the human body, therefore inflammatory processes in it lead to disruption of the gait, up to the development of permanent lameness. In addition, a person with this pathology experiences severe pain during walking, and subsequently - and at rest.

Causes

Most often this disease affects people in old age, because the main reason for it lies in the prolonged and excessive overload of the ligament. Also, some people have a professional predisposition to such a pathology, for example, athletes and people of the ballet profession.

The main reasons, under the influence of which inflammatory changes occur in the fascia of the foot and then degenerative changes, are:

1. excess weight (and as a result excessive load on the feet);
2. osteochondrosis of the lumbar spine;
3. long wearing of shoes with high heels, as well as tight and uncomfortable shoes;
4. inflammatory-degenerative joint diseases;
5. flat feet and other abnormalities of gait;
6. violation of blood supply of the lower extremities due to such a disease as obliterating atherosclerosis.

Treatment of this disease begins precisely with an establishment of the reason of its or his occurrence, as the "calcaneal spur" itself is a consequence inflammatory-degenerative changes in the fascia, and trying to treat it with various methods, including folk, the result can not get. Influencing the cause of pathology, it is possible to treat it quite successfully, and conservative methods.

Clinical manifestations

Plantar fasciitis

Symptoms of such a disease as plantar fasciitis are pronounced, therefore it is usually not difficult to diagnose. The main symptom is pain, which:

• increases with prolonged walking;
• occurs when trying to step on the heel in the morning, and by the evening becomes so strong that it forces a person to use a cane or crutches;
• localized at the back of the foot, but gives into the fingers and the muscles of the lower leg;
• It has a sharp character, as if a person stepped on some cutting object.

Of course, there are other symptoms of this disease, which are not so obvious, but allow the doctor to make a complete picture of the cause of the pathology in humans. In particular, these are symptoms such as:

1. the development of deformation of the foot with the formation of contractures, which is due to the shortening of the fascia and reduce its mobility;
2. cramps in the calf muscles, as well as the muscles of the foot, which can occur both at night and in the morning, when a person tries to get out of bed after a long period of rest.

Also it should be said that the symptoms of such pathology as plantar fasciitis can be supplemented by visual manifestations. In the area of ​​lesion of the fascia, swelling and hyperemia of the skin can be noted. The general state of a person is usually not disturbed.

All these symptoms worsen the quality of human life. And if the disease is not treated in a timely manner, it can lead to disability of the patient.

Diagnosis and treatment

Before starting treatment of the disease, it is necessary to carry out diagnostics. A person with the above symptoms should consult an orthopedic or traumatologist.

If a person lives in a small city where there are no such specialists, complaints should be addressed to a surgeon who will conduct a visual inspection, palpate the foot to establish the location of the pain, and radiography.

In the picture, one can see bone growths in the calcaneus region.

Treatment of such a disease, as plantar fasciitis, can be conservative and surgical.

Fortunately, doctors resort to surgical methods only in extreme cases, when conservative methods do not have an effect or when the disease is too much started.

In most cases, during a year, treatment of this disease gives a good result with complete cure of the patient.

In particular, if the cause is overweight, you need to switch to proper nutrition and add physical activity to the routine.

If the disease has arisen against the background of playing sports, you need to reduce the number of loads or completely abandon this type of sports activities and replace it with another.

Sometimes it is necessary to change a profession, for example, if the disease has developed due to the fact that a person by the nature of his activities spends a lot of time on his feet. In addition, the wearing of special orthopedic shoes, or the use of special orthopedic insoles, reducing pressure on the heel.

Also, the treatment involves the use of gypsum longots, to fix the foot during sleep, or, in cases of severe deformation, the use of a plaster bandage.

Massage of the fascia also gives an excellent result, allowing you to eliminate areas with limited mobility and develop a bunch.

There is also a certain set of exercises for stretching the muscles of the extensor of the foot, which makes it possible to improve blood supply in this area and increase the mobility of the fascia.

Exercise should be performed daily until recovery to 10 minutes a day, and after recovery to prevent relapse of pathology.

A source: http://SimptoMer.ru/bolezni/sustavy-kosti/1762-podoshvennyy-fastsiit-simptomy

Plantar fasciitis: causes, symptoms and treatment of plantar fascia

Plantar fasciitis is a disease that is formed as a result of inflammatory-degenerative processes in the plantar (fascia) fascia. The disease is accompanied by pain in the heel, which becomes stronger with the load on the foot.

Also, fasciitis occurs due to soft tissue damage, bone growths. In the common people, this disease is called a "calcaneal spur but this name is not reliable, since the bony growth appears as a result of the disease.

The most vulnerable group of people are women over 40 years old. Plantar fasciitis can also occur in athletes, when they experience heavy loads in the area of ​​the heel.

Causes of the disease

Plantar fasciitis can occur due to prolonged and severe overload of ligaments. In general, this disease affects people of middle and old age. Weightlifters, ballerinas and athletes also very often meet with fasciitis due to special loads.

The list of main problems, due to which the disease occurs, includes:

• strong and prolonged load on the legs;
• When the shoes are staggering, the position of the foot takes an incorrect position, also called pronation, i.e. podvorachivanie stops when walking inside;
• long wearing of tight shoes and shoes with high heels;
• osteochondrosis in the lumbar spine;
• problems with insufficient blood supply to the legs, due to obliterating atherosclerosis;
• excess weight;
• a high arch of foot and flat feet are also dangerous factors;
• inflammatory and degenerative diseases (arthrosis and arthritis);
• against the background of age-related changes thinning of the layer of subcutaneous fat tissue in the heel area can occur;
• gout and diabetes mellitus thin the layer of tissue in the heel, which provokes the appearance of the disease.

Factors triggering the development of the disease

These factors can contribute to the development of fasciitis, so they also need to look closely and correct any errors.

The first factoris uncomfortable and tight shoes, so it's better to go in sports shoes, or put a soft insole on it.

The second factoris walking barefoot. If you like to walk on your bare feet, then you should stop doing it. At home you need to walk in slippers only.

The third and last factoris overweight.

Because of the superfluous and so many many serious problems can arise, for example diseases cardiovascular system, but at the same time there is a huge load on the heel, because of this disease can become aggravated. Therefore, it is worth starting to lead a healthy lifestyle, eliminating fat and flour foods from the diet and regularly practicing sports.

Symptoms of Plantar Fasciitis

The most common symptom of the disease isacute pain in the heel area, which usually occurs when walking.

This pathology has a characteristic feature, which is pain at the first steps, immediately after awakening.

This factor appears due to the fact that at night, with prolonged rest, micro stretches on the ligaments begin to heal, and when the person starts walking, the ligaments stretch again causing pain.

Also, the pain can appear after a long stay in one position, after special physical exertion and, in principle, active sports.

According to the descriptions of patients, pain in fasciitis is similar in sensation with pain when piercing the foot with a pin. Also, when the disease develops, dull pain may appear. As a rule, pain sensations appear only in the plantar area of ​​the heel.

But in some cases, the back surface of the bone may also begin to ache.

Diagnosis of fasciitis

Marginal bone calcification osteophyte (heel spur) on the chest X-ray

If you experience any of the symptoms described above, you should immediately contact a specialist. He, in turn, should examine the patient's leg and be sure to conduct an X-ray study, only then can the doctor accurately determine the severity of the disease and designate an effective method treatment.

During the examination, the doctor examines the heel for swelling and points at which pain occurs. But on the results of X-rays will be seen growth of the calcaneus.

Often with symptoms of fasciitis, patients do not know which specialist to turn to, this disease is being treatedtraumatologists and orthopedists, but if the specialist closest to you does not have this specialist,you can ask for help from a surgeon.

Treatment of plantar fasciitis

When the disease is used, anti-inflammatory and anesthetic medications. As a rule, various massages and therapeutic exercise are used. In more severe cases, laser therapy is also used.

Medication

To cure fasciitis, anti-inflammatory drugs (not containing steroids) are taken. From anesthetics, you can take:

1. Naproxen;
2. Hydrocortisone ointment;
3. Aspirin;
4. Ibuprofen (ointments and tablets);
5. Indometacin ointment.

Remedies will remove inflammation in the leg, and reduce pain. Also you have the choice to use tablets or cream.

In case you decide to be treated with pills, take them only after eating.

And if you resorted to creams, then without any prescriptions just apply them to the inflamed area.

The injections of this drug will temporarily relieve the pain, but do not forget that this is only a temporary solution to this problem.

The injections are quite painful, and if you abuse them, you can seriously damage the heel.

Surgical interventions

Before resorting to surgery, you need to visit a specialist physiotherapist.

He will certainly tell you what to do, and he will be able to say whether it is necessary at all to resort to such serious methods of curing the disease.

To the physiotherapist, contact only after using all other (non-medical) methods of treatment. It may not be necessary to lie down at the surgical table at all, and other methods will help to eliminate the plantar fasciitis.

But not everything is so good, in the operation it is necessary to realize that there are a number of risks, the list of hazards associated with surgical intervention includes:

• development of the neuroma;
• infection;
• tarsal tunnel syndrome;
• persistent acute pain and swelling.

There is also a risk that, for a long time after the operation, the ability to regenerate wounds will slow down.

Use of extracorporal shock wave therapy

This method is a safer option than surgical intervention. Treatment is by directing sound waves to the affected area, the method is aimed at relaxing the leg muscles.

This type of treatment is used only if the symptoms of fasciitis do not disappear after the expiration of 6 months of treatment.

The procedure also has side effects, such as swelling of the treated area, numbness of the extremities of the legs and bruising.

The method is not as aggressive as surgery, but less effective.

Various alternative and home therapies for fasciitis

Insoles for shoes

To reduce the load on the feet, you need to apply different types of insoles and thrusts. It is advisable of course to use orthopedic insoles. This type of insoles is an additional support for the feet.

To put orthopedic insoles it is necessary in two boots, that is if you have only one legache it is not necessary to use insoles on only one leg. After all, shoes should be balanced, which can prevent the occurrence of pain in the heel.

You can also use the so-called orthoses, prosthetic devices in the form of boots. The orthosis is the fixator for the legs during sleep, since the foot is rigidly placed at an angle closer to the shin. This method will help to properly combine microfractures, which are formed during the day.

Physiotherapy exercises (6 effective exercises with plantar fascia)

There are complex exercises for the prevention of plantar fasciitis. Only 6 exercises will be listed in the list.

1 exercise

In the first exercise, you need to lean on the wall and stretch out your arms.

When you are sure that the leg is stretched as far back as possible, while the other should be slightly in front, transfer the weight to the back foot.

Then, move the body forward, while not taking off the heels and finding in this position for 30 seconds, until you feel the stretching.

2 Exercise

In this exercise, you need to maximally extend your feet, and then bend all your fingers on the leg back, special attention should be paid to the thumb.

This exercise must be done alternating, that is, first bend the knee, and then do the exercise already with the straightened leg. The foot should be kept in a state of tension, for greater efficiency.

Exercise is carried out for 10 repetitions, 2-3 times a day.

3 Exercise

To perform this exercise, you need to take a small stool. Stand on a stool, lean your hands on a stable support, the ideal option will be a wall. When you are confident that you can maintain balance, then start the exercise.

Stand on your toes and stretch your foot, in this position you need to stand for 30 seconds, and then return to the starting position. Exercise is carried out for 10 repetitions, 3 times a day.

4 Exercise

5 Exercise

This exercise is to stretch the feet so that the toes are tense. Then lightly press the fascia and do circular motions.

This exercise should be done several times a day until there is a feeling of relaxation in the arch of the foot.

6 Exercise

For this exercise, you need to take a cold jar, for example with soda, or some small ball, and then press on it foot and start rolling on the floor, in order to achieve relaxation of the arch feet. It is worth doing 30 to 50 repetitions a day, so that the feet are relaxed.

Other methods of treating the disease

Other methods of treatment include massage, mud and mineral baths and warming sprays. Also sometimes resort to the use of gamma therapy. Gamma therapy is performed on radiotherapy units widely used in the field of oncology.

Prevention of disease

Some of the treatments are also applied in advance to prevent fasciitis.

From these methods it is necessary to distinguish several:

1. support the body in an appropriate form;
2. wearing comfortable shoes, and it is better to get orthopedic;
3. Do not feel your legs with excessive physical exertion;

Forecast of plantar fascia

This disease has very favorable prognosis and can constitute a health hazard only in neglected form. Also, with a fracture of bone formation on the fascia, the disease can take a severe form.

A source: http://tvojajbolit.ru/ortopediya/plantarnyiy-fastsiit-prichinyi-vozniknoveniya-simptomyi-i-lechenie-podoshvennoy-fastsii/