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Plantar Fasciitis

Symptoms

Symptoms of plantar fasciitis may include:

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Heel pain with first steps in the morning

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Tenderness

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Night pain

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Limping may present

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Toe walking

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Reduced range of ankle

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Pain is usually worse on bare foot

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Pain while climbing stairs and walking on hard surface

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Stiffness

Causes

The causes of plantar fasciitis may include:

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Pregnancy
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Obesity
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Work related- long standing jobs like teachers, traffic police, waiters, nurses etc.
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Long distance runners
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Structural foot problems- Flat foot, high arched foot, hallux valgus etc.
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Calcaneal spur
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Diabetics
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Improper footwears
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Tight calf muscles, Achilles Tendon
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Poor posture
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Leg length discrepancy

Diagnosis

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Radiography(X-ray)- Plain x-ray may show a sharp bone spur projecting towards heel.
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Ultrasound
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MRI

Treatments

Based on the patient history, physical examination and physical tests therapist will diagnose the condition. Patient needs to understand their condition and importance of pain management, foot care, stretching and strengthening program. Absolute rest, limiting the aggravating movements and icing is essential to reduce the pain. IFT and US are the pain management modalities usually used in physical therapy. Once the pain got subsided exercise program can start to stretch the tight and strengthen the weak muscles. Mobilizations and manipulations in manual therapy can improve the joint range of motion. Changing the footwears with soft cushion type can protect the foot from further incidence of plantar fasciitis.

Our Musculoskeletal Wellness Program uses Shockwave Therapy (ESWT), which is an advanced modality for the treatment of musculoskeletal conditions and its very effective in plantar fasciitis and heel spurs. ESWT uses sound waves (high amplitude pulses of mechanical energy) to breakup infected tissues and stimulate the healing process. The energy triggers the regeneration and reparative processes of the bones, tendons and other soft tissues. ESWT is used to treat chronic, sub-acute and acute conditions. After the shockwave session, Cryotherapy is advised to avoid muscle soreness.

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Extracorporeal Shockwave

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Pulsed Cell Repair

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Electrotherapy & Pain management

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Exercises

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Nutrition & Diet Management

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Lifestyle Management

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Ergonomics Guidance

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