Plantar faciitis orthotics

by Nathan Wei, MD, FACP, FACR

Nathan Wei is a nationally known board-certified rheumatologist and author of the Second Opinion Arthritis Treatment Kit. It's available exclusively at this website... not available in stores.

Click here: Second Opinion Arthritis Treatment Kit

The correct spelling is "plantar fasciitis".

Plantar fasciitis is an injury that causes severe heel pain and foot pain. The plantar fascia or arch of the foot ligament is a band that runs from under the heel to the front of the foot. A rupture can sometimes occur at the origin of the arch ligament and result in inflammation and heel pain. This is more common in sports where jumping is important.

What are the symptoms of plantar fasciitis?

• Heel pain at the origin of the arch ligament when weight is put on the foot, pain at this point if standing on tip toes, tenderness and swelling under the heel, numbness along the outside of the sole of the foot.
• Pain is usually worse first thing in the morning. After a few minutes it eases as the foot gets warmed up, but can get worse again during the day especially if walking a lot.
• If the person over pronates then they may be prone to this injury because as the foot rolls in, the arch ligament is stretched more, putting more strain on it.

What can a person with plantar fasciitis do?

• Rest until it is not painful. A good taping technique can help the foot get the rest it needs by supporting the plantar fascia.

What a physician will usually do:

• Prescribe anti-inflammatory medication such as ibuprofen.
• Prescribe orthotics.
• Tape the foot. This is an excellent way of allowing the foot to rest.
• X ray or MRI to assess for proper diagnosis.
• Inject the area with glucocorticoid
• Surgery if the problem does not respond to conservative therapies

However, a newer treatment for tendonitis may be more effective and prevent the need for surgery. Percutaneous needle tenotomy is a technique where a small gauge needle is introduced using local anesthetic and ultrasound guidance. The needle is used to poke several small holes in the fascia. This procedure is called "tenotomy." Tenotomy induces an acute inflammatory response. Then, platelet rich plasma, obtained from a sample of the patient's whole blood is injected into the area where tenotomy has been performed. Platelets are cells that contain multiple healing and growth factors. The result? Normal good quality fascial tissue is stimulated to grow with natural healing.

For more information about tendonitis and plantar fasciitis, visit our sister site:
Tendonitis provides reliable, accurate, and useful information on tendonitis treatment written by a board-certified rheumatologist. Learn more about how to get tendonitis relief using the most up-to-date methods.

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