FAQ - Fasciitis, Plantar
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How to alleviate the pain of plantar fasciitis?


Any ideas? I have had it before and have been treated with injections, which worked. Don't really want to resort to that again. Have the usual gel inserts in shoes, try to keep feet elevated etc., but I am on the go all day! I just have to walk through the pain, but it is getting worse. Someone suggested potassium - any other tried and tested tips? I could always be thinner, but I am not particularly overweight, so I don't think that is an issue.
Thanks Pam - icing definitely helps
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Try doing a lot of stretching the back of the heel ankle and calf's. Massage the calf's and ice the feet. I had a similar problem, and they wanted to do surgery on my feet. But instead I did physical therapy and got over it. It took about of month of stretching every day to be pain free. Good Luck  (+ info)

How much effect does the achilles tendon play in plantar fasciitis?


My podiatrist says all the pain is caused from the tight achilles tendon, is it true.
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It very well could be. If the achilles tendon is too tight, it would be causing constant pressure (pulling) on the Plantar facia, thus making it tired / sore.  (+ info)

what insert would work best to relieve the pain of plantar fasciitis?


I have ones called "heel halo", they have a hole in the middle so my heel doesnt touch it full on. I have seen ones that say they are specifically for the PF but am not sure what would work best. Just looking for some help.
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The plantar fascia supports the inside arch of your foot. If you have a pronated (flat) foot type it over stretches and irritates the plantar fascia. You need to lift and support the arch with a insole to relieve the strain and allow the inflammation (where it attaches into your heel bone) to settle. I would also advise getting sports shoes with an anti-pronation device fitted in... find a good sports shoe shop, they should be able to give advice on insoles and shoe types.  (+ info)

What REALLY works to cure plantar fasciitis?


My feet have been hurting since May. I've bought Walkfit Orthodics, seen a podiatrist (suggested EXPENSIVE orthodics), stretched, exercised, nothing seems to help...
Oh yeah, except that nice shot they gave me in the heels. That helped for a few days.
Anybody have advice?
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Treatment of plantar fasciitis is with short-term rest and controlling the inflammation. Here are the steps patients should take in order to cure their plantar fasciitis:
Rest
Avoiding the precipitating activity; for example, take a few day off jogging or prolonged standing/walking. Just resting usually helps to eliminate the most severe pain, and will allow the inflammation to begin to cool down.

Apply Ice Packs
Icing will help to diminish some of the symptoms and control the heel pain. Icing is especially helpful after an acute exacerbation of symptoms.
A great way to ice plantar fasciitis

Exercises and Stretches
Exercises and stretches are designed to relax the tissues that surround the heel bone. Some simple exercises, performed in the morning and evening, often help patients feel better quickly.

Anti-Inflammatory Medications
Anti-inflammatory medications help to both control pain and decrease inflammation. Over-the-counter medications are usually sufficient, but prescription options are also available.

Shoe Inserts
Shoe inserts are often the key to successful treatment of plantar fasciitis. The shoe inserts often permit patients to continue their routine activities without pain.

Night Splints
Night splints are worn to keep the heel stretched out when you sleep. By doing so, the arch of the foot does not become contracted at night, and is hopefully not as painful in the morning.
These modalities alone will cure the plantar fasciitis pain in most patients. Be forewarned that the symptoms will not resolve quickly. Most patients find relief within about three months, and over 90% within one year.
If the pain does not resolve, an injection of cortisone can decrease the inflammation of plantar fasciitis. However, many physicians do not like to inject cortisone because there are potentially serious problems with cortisone injections in the heel area. The two problems that cause concern are fat pad atrophy and plantar fascial rupture. Both of these problems occur in a very small percentage of patients, but they can cause a worsening of heel pain symptoms.

A new treatment for chronic plantar fasciitis is being investigated. This treatment, called extracorporeal shock wave therapy, or ESWT, uses energy pulses to induce microtrauma to the tissue of the plantar fascia. This microtrauma is thought to induce a tissue repair process by the body. ESWT is recommended in patients who have failed the previously mentioned treatments, and are considering surgical options. For more information on shock wave therapy treatment:

Extracorporeal Shock Wave Therapy
After successful treatment, how can I prevent plantar fasciitis from coming back?
To prevent the recurrence of plantar fasciitis after treatment, proper fitting footwear is essential. Many people use shoe inserts to relieve pressure over the tender area. Custom orthotics can also be made if there appears to be a problem with the mechanical structure of the foot. It is also important to continue the stretching and exercises. These simple exercises will help maintain the flexibility of the foot and prevent the plantar fasciitis pain from returning.
What if the symptoms of plantar fasciitis do not resolve?
In a small number of cases (usually less than 5%), patients may not experience relief after trying the recommendations listed above. It is important that conservative treatments (such as those listed above) be performed for AT LEAST a year before considering surgery. Time is very important in curing the pain of plantar fasciitis, and insufficient treatment before surgery may subject you to potential complications of the procedure. If these treatments fail, your doctor may consider an operation to loosen the plantar fascia, called a plantar fascia release. For more information about plantar fascia release:  (+ info)

Any advice on plantar fasciitis shoes?


I have plantar fasciitis and was wondering if anyone has bought shoes and can recommend a good brand to me.

Thanks!
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What is the best way for a distance runner to cure plantar fasciitis?


Stopping your running is NOT a viable answer! Amputation does NOT count. The solution must be legal in most parts of the world!
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if you wont stop running and do alternative fitness workouts for a month or so simply it will not be cured! but you may be able to lessen the pain

if you insist on running then first get an podiatric corrected heel and foot insert for your shoes, next get appropriate stretchs taught to you for you tendons, next ice it after every run and use anti-inflammatories and finally get used to pain - as you refuse to not run it will never be cured and might develop into arthritis  (+ info)

What sandals do you recommend for people with Plantar Fasciitis?


I have seen some people recommend Birenstocks, all I see is open back sandals not closed ones. Keens is the other one that I see but not sure if I like their choices of color and designs. Is there any other sandals like Keens?
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Birkenstocks are very well made and formed for the foot ... they aren't just 'any' sandle...

I'm not familar with Keens and if they are a well made sandle or not.

One very good company for shoes is New Balance... for your sneakers which you really have to wear most times anyways to get the support you need under the foot.

Some people also like clogs.. like good ones... surgeons wear them becuase they are on their feet so long. I went to a place that sold them.. very nice onces but they cost around 300 bucks for them.

You might want to look on the net for places that have info on plantar fascitis and see if they have shoe reccommendations down to find out more about the Keens brand you have found.

Unfortunately when it comes to painful feet and finding footwear, it's hard to find stylish and nice unless you pay a lot... as in the nice clogs i found had all sorts of nice colors and stuyles but you pay very highly for them.

I have seen other color Birkenstocks too but primarily black open toe I assume because that is the eaiest to match things. Try going to their site on the net and see what comes up..

good fortune  (+ info)

Are there any inexpensive shoes for plantar fasciitis? Any advice on getting rid of it?


I don't have health insurance, and can't afford a doctor. I'm 99% positive I've developed this. (It sounds crazy, but I think I've developed it from driving a lot. My clutch is far from the floor.)

I've been going to the gym 4-5 times a week, have lost weight and want to continue, but fear not being able to go anymore until the pain goes away. I just want to walk again without pain!
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possess as much information as you could maybe is one of the options,however it is quite time consuming,here http://www.HealthInsuranceIdeas.info/free-online-health-insurance.htm is the resource i have ever had good experience.  (+ info)

If I lost weight, would the pain from my plantar fasciitis go away?


I am approximately 50 pounds overweight, and it's hard to exercise with this problem of my feet...was wondering if anyone had plantar fasciitis, and losing weight help it... Thanks~!
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Hi
losing weight will surely help you to get rid from plantar fasciitis but it is not enough. You should do more things to treat it. I have plantar fasciitis myself for a few months now. My podiatrist prescribed me with Custom made orthotics which did not work at all. I understood that treatment efficiency is very individual. If something works for one it may not work for the other. I took of weight and changed my job conditions and I am much better today.
There are many treatment techniques that you can try. There are Taping techniques that I find very useful. There are a few more self-care techniques that I got from this informative website:
http://www.plantar-fasciitis-elrofeet.com/How_is_Plantar_Fasciitis_Treated
As for exercise you can ride a bicycle or swim without any foot pain.
Take care & Good luck  (+ info)

How can I tell if I have plantar fasciitis or fibromyalgia? When I take neurontin & flexeril the PF is better.


I have had the diagnosis of both conditions, but how do I know if I have "real" PF or it's just fibromyalgia in my feet? Isn't it strange that the medications help?
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These can be very frustrating situations to diagnose and treat, and also to have as a patient...if the medications work, thank God and get on with life-enjoy it while you can...good luck  (+ info)

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