The plantar fascia is a slim, strong band that runs beneath your foot, forming the arch. It stretches from your heel to your toes.
Plantar fasciitis is when the plantar fascia, a band in your foot, gets inflamed from too much stretching or usage, leading to heel and foot pain. This can affect one or both feet, often happens from standing a lot, and is a typical foot problem for active men aged 40 to 70.
Causes of Plantar Fasciitis
Plantar fasciitis is when the plantar fascia ligament gets strained or irritated. Constant strain might cause small tears in the ligament, causing pain and swelling that makes walking hard.
Strains can result from:
1. Having a very high or low arch in your foot.
2. Being overweight or quickly gaining weight.
3. A stiff Achilles tendon, the link between your calf and heel.
4. Beginning a fresh activity or boosting its difficulty.
5. Poor footwear choices like too soft soles, ill-fitting shoes, or inadequate arch support.
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Symptoms of Plantar Fasciitis
Plantar fasciitis typically causes heel and foot pain and stiffness. This pain is usually worse:
1. When you first get up in the morning.
2. If you walk after long periods of sitting or standing.
3. When going up stairs.
4. Following exercise.
Diagnosis
Your doctor can diagnose plantar fasciitis by discussing your medical history and checking your foot for pain, firmness, or redness on the bottom. They might observe how you stand and walk and look into other factors like high arches.
Your doctor may request foot X-rays to check for a stress fracture (a tiny crack in the bone), or conditions like a heel spur, an excess buildup of calcium on the heel bone.
Treatment for Plantar Fasciitis
Treatment includes simple steps to ease the condition. These steps are: 1. Rest: Begin with rest, which helps lessen pain and protects the ligament from more harm.
2. Ice: Apply ice by rolling your foot over it. Do this for 20 minutes, 3-4 times daily, to decrease swelling.
3. Medications: NSAIDs can be used to ease pain and lessen inflammation.
4. Exercise: Try calf and plantar fascia stretches to alleviate pain.
5. Steroid Injection: An injection may be given in the plantar fascia to lessen pain and swelling.
6. Shoes & Orthotics: Supportive footwear and orthotics can make walking or standing more comfortable.
7. Night Splints: Your doctor may advise wearing night splints to stretch the plantar fascia during sleep.
8. Physical Therapy: Learn stretching exercises, massage techniques, and ice applications.
9. ESWT: Physical therapists might use shockwave impulses to help heal the plantar fascia.
Surgery for Plantar Fasciitis
Surgery is an option if after a year, other treatments haven’t helped. The type of surgery you'll get depends on your specific case.
Gastrocnemius recession surgery lengthens tight calf muscles to reduce strain on the plantar fascia. Your surgeon will make your calf muscle longer, improving ankle movement. It's done with an open cut or through a tiny cut using an endoscope, a camera-equipped tool.
Plantar Fascia Release: Should you retain good ankle movement but still suffer from heel pain, we suggest a partial release surgery. In this, your surgeon will delicately slice a portion of your plantar fascia ligament to lessen the strain. While this operation can be done using an endoscope, the open incision method is simpler and carries a reduced likelihood of harming nerves.
Risks and Complications
Surgery for plantar fasciitis is usually safe, but like all surgeries, risks exist. Possible issues include:
1. Infection.
2. Nerve damage.
3. Persistent pain.
MEET YOUR RECOVERY TEAM
Kanwal Bhardwaj
PT, M.Sc.PT, CIMT, CMNT
Meet Kanwal Bhardwaj, PT, M.Sc.PT, CIMT, CMNT, the driving force behind Stride Physical Therapy in Freehold, NJ. With over 20 years of dedicated experience in the field, Kanwal brings a wealth of expertise and a passion for holistic healing to his practice. Kanwal's journey began with a Master of Science in Orthopedic Physical Therapy from Quinnipiac University in 2004. Over the years, he honed his skills and gained invaluable insights during 18 years of service in outpatient physical therapy offices. In 2014, fueled by a desire to deepen his understanding of patient care, he pursued a manual therapy certification (CIMT). This transformative experience allowed him to adopt a whole-body perspective, focusing on treating the root cause rather than just the symptoms...
At Stride Physical Therapy, we're dedicated to transforming lives. With a focus on the root cause of your condition, we're here to help you regain mobility and embrace an active lifestyle. What sets us apart? Our genuine passion for what we do. Let's stride towards a brighter tomorrow together.
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Find Relief for Your Hip and Knee Pain with Physical Therapy
Finding it tough to walk without a limp? Worried that your days of being active are over? Are hip and knee pains making every move unbearable? If hip or knee discomfort is wreaking havoc on your daily life and you're seeking relief without turning to medications or surgeries, there's an alternative.
Physical therapy offers a non-invasive way to lessen the pain in your hips and knees, enhancing the performance of these essential joints. Get in touch with Stride Physical Therapy in Freehold, NJ, today to discover how we can assist you in getting back on your feet!
How Physical Therapy Eases Hip and Knee Pain
Once we pinpoint the cause of your hip or knee pain, our physical therapist can recommend strategies to help ease your pain and get you moving comfortably again. We might start with passive exercises where we help move your joint to increase its range of motion without pain. Exercises that ease the load on your joints are also beneficial. For example, swimming or water activity lessens the stress on your hips and knees as they don't have to carry your full weight.
We'll also suggest exercises to tackle your hip or knee pain and improve joint health. Strengthening exercises bolster the muscles and tissues stabilizing your joint, and corrective movements and neuromuscular training teach you how to keep your posture aligned and balanced.
Beyond exercises, our physical therapy includes treatments like heat, ice, and massage to help manage pain and accelerate healing.
Common Causes of Hip and Knee Pain
Hip and knee pain can be caused by a variety of problems. Some of these are related to musculoskeletal misalignment, poor posture, and/or excess weight; others occur as the result of natural aging or unhealthy sports/work habits. Your hip or knee pain may stem from:
Traumatic injuries, such as dislocation of the joint
Postural/alignment issues that throw your body off balance, straining the knees or hips
Runner’s knee, an instability of the kneecap
Osteoarthritis, a painful inflammatory condition involving deteriorated joint cartilage
Tendinitis, or stretched ligaments
Bursitis, an inflammation of the friction-reducing sacs surrounding the joints
Infections
Our physical therapist can often determine the cause of your hip or knee pain from its location. For example, pain along the inside of the hip is more likely to be caused by a problem with the bones or cartilage. Pain along the outer side is typically caused by a problem in the muscles, tendons, or ligaments.
Why Did My Hip and/or Knee Pain Develop?
Your hips and knees play vital roles – the hips support your upper body's weight and your knees support the weight of your body above them. They need to be flexible for activities like walking and running, but this can lead to ongoing hip or knee pain. Pain in these areas can arise slowly from regular wear and tear, or quickly and sharply if you get injured.
Relieve Your Hip and Knee Pain Today
Are you ready to reclaim your pain-free mobility through physical therapy? Contact Stride Physical Therapy in Freehold, NJ, for an appointment! Our dedicated team is here to help you find relief and improve your quality of life.
