Category Archives: plantar fasciitis

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Albert Pujols Plantar Facial Tear: Could it Happen to You?

As I have previously written, plantar fasciitis is the most common

complaint which walks through my door. It does not just afflict the old or

the out of shape, but affects athletes as well.  It appears that Albert Pujols

has had an ongoing issuewith his plantar fascia.  And based on this article,

he has developed a devastating injury which may sideline him for up to a

year.

WHAT IS A PLANTAR FASCIAL TEAR?

But really how bad is a plantar fascial tear?  Well honestly I would be

surprised if Albert misses a year.  Commonly plantar fascia can tear after

multiple cortisone injections and by many I mean five or more in the

course of less than six months.  A large strain on the fascia such as after a

big fall or in ahyperextension of the foot may also lead to a tear.  Otherwise,

it is a fairly uncommon injury and I have only seen a few cases in over 17

years of practice.

WHAT ARE THE SYMPTOMS OF A TEAR?

However if your fascia has actually torn what happens?  First its going to

hurt.  A lot.  Initially it will be black and blue and swollen and treatment

may be started with ice and immobilization.  But likely over the

course of a few weeks or months the pain should resolve.  And if you had

plantar fasciitis prior to a tear, it should also resolve.  Because essentially a

tear of the fascia CAN mimic surgery for plantar fascial surgery where the

fascia is released.  There is a chance however that the fascia may still need

to be fully released depending on the extent of the tear.  Rarely would I

expect this to be repaired or sewn together.

If you think you may have a plantar fascial tear, or plantar fasciitis, please call.  We are here to help!

 


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Plantar Fasciitis, Runners, and Orthotics

Category : Blog , plantar fasciitis

As I mentioned in my last post, plantar fasciitis can be caused from overuse.  When you run, you place up to 5 times your body weight on the foot with each step.  This compares to 1-1.5 times your body weight on your foot with walking.  So naturally there are a share of runners out there who develop heel pain, or plantar fasciitis.

Unfortunately, one of the best things you can do to help decrease your pain is one of the last things you may want to do if you run:  stop running.

OK.  Now that I cant convince you to stop running lets move on.

Do you need custom orthotics?  Well that’s a definite maybe.  Certainly most of the over the counter supports out there are absolute junk.   I have had many, many people waste $50 or more on the Dr. Scholl’s “custom fit orthotics.”  These are not custom and most of the time they do not fit.  Many times, I will dispense my own OTC supports and for many people these can work out really well as adjunctive therapy for fasciitis. However, if you have a really high arch or you have a severe pronation problem (flatfoot), you may be much better off with a custom device.   The best way to tell which treatment is best for you is to come in for an evaluation.  Call 352-376-5112 or click here to have us contact you.   You really dont have to continue to live with foot pain.


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Heel Pain

Category : Blog , plantar fasciitis

“What can I do for you today?”  I ask.  The response I typically get is “Fix my heel pain!!”

There is not a day that goes by that I don’t see at least one, and usually multiple people with heel pain.  It never fails to amaze me how uninformed patients and other physicians are about heel pain, so of course I’d like to devote my first blog to this topic.

Plantar fasciitis, heel spurs, heel pain syndrome.  No matter what you want to call it, it’s all the same.

On the bottom of the foot is a ligament called the plantar fascia.  It attaches to the heel bone or calcaneous and runs to the ball of the foot.  At the attachment to the heel bone, an inflammation of the ligament can develop leading to pain.  Simple.

But what about the heel spur?  Don’t worry about it.  If there is one, its there because of the ligament pain.  Its not the cause of the pain.

Causes of heel pain include overuse, weight gain, trauma and poor biomechanics which just means you have a bad foot type, i.e. flatfooted or high arched.

But what about treatment?  On your own, you can try some OTC ibuprofen or naprosyn, stretch and ice the heel, and try store bought arch supports.  I do caution you however that most of the product out there are a complete waste of money.  Dr. Scholl’s has a great marketing campaign, but thats about it.

If those things don’t make a significant difference, I would invite you to call me at 352-376-5112 for an evaluation or you can contact us here.  I would be more than happy to help you get back to a pain free life.


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