It is one of the most common causes of heel pain according to the Mayo clinic. It involves inflammation of the plantar fascia, which is a band of thick tissue that runs across the bottom of the foot connecting your toes to your heel and turning into the achilles tendon and calf muscles.
Plantar fasciitis commonly causes a stabbing pain that normally occurs with the first steps in the morning. After getting up and moving more, the pain will normally decrease. But it may return after standing for long periods of time or going from sitting to standing. It is more common in runners, other risk factors are being overweight, inadequate foot support, standing for long periods of time, dancing or ballistic jumping activities.
If ignored plantar fasciitis could result in chronic heel pain that hinders or changes your regular activities. Changing the way you walk to minimize your foot pain could lead to foot, knee hip and or back pain as compensation.
Orthotics- You might be able to find relief by having custom made or fitted arch supports (orthotics) to help disperse pressure through your feet more evenly. In the office we offer Foot levelers orthotics.
Deep tissue laser therapy-Laser therapy is a non-invasive, drug-free, and surgery-free way to treat the body and decrease pain & inflammation. It is a technologically advanced treatment that uses light energy to accelerate your body’s own natural healing processes to help speed recovery.
Exercises- Using specific exercises to strengthen the foot can help long term in correcting the biomechanical problems in the foot. One of the main causes of plantar fasciitis is weak foot muscles, causing the arch to collapse which increases tension and irritation to the plantar fascia.
Extracorporeal shock wave therapy- This procedure uses sound waves directed at the area of heel pain to stimulate healing. It shows excellent results, reducing the swelling and pain in the treated area.
Injections- Steroid medications injected into the tender areas may provide a temporary pain relief, but it is NOT a good long term option due to the risks associated with multiple injections such as weakening of the plantar fascia and bones of the foot. platelet rich plasma (PRP) under ultrasound guidance, could be another option with less risks of tissue rupture.
Soft tissue therapy- This can be done multiple ways. There is massage therapy, Instrument assisted soft tissue mobilization, Cupping etc. This works by reducing scar tissue.
According to the CDC on Drug Abuse, every day, more than 130 people in the United States die after overdosing on opioids (1). The abuse of this classification is a serious national crisis that affects public health as well as social and economic welfare. The Centers for Disease Control and prevention estimate the prescription opioid misuse alone in the US is around $78.5 Billion a year, including the costs of healthcare, lost productivity, addiction treatment, and criminal justice involvement (2). Roughly 21-29% of patients prescribed opiods for chronic pain misuse them (4). of those between 8-12% develop a opioid use disorder.
10 Alternatives to opioids
Chiropractors are specialists focused on neruomuscular disorders, who emphasize manual manipulation of the spine and extremities. Studies have shown to be effective at decreasing pain and improving physical function (5).
Acupuncture is the Chinese practice that involves and experienced practitioner using hair thin needles into the skin at specific points in the body. Through this they are correcting imbalances in the nervous system and muscles. In the Archives of Internal Medicine a review found that acupuncture relieved pain by about 50% in patients (6).
A physical therapist specializes in physical medicine and rehabilitation. They may be able to create an exercise program that helps you improve the function of your body mechanics and decrease your pain.
Massage therapy is a great tool in combination with chiropractic, acutpuncture and physical therapy wheather it be acute injury such as a car accident or sports injury or chronic problems like low back pain, neck pain etc.
Cognitive Behavioral Therapy
Cognitive behavioral therapy (CBT) can help people practice “acceptance theory”, which can lead to behavioral changes and perceptions, and increase patient confidence and self-efficacy for pain management. In a review published in the American Psychologist found that CBT had small to moderate effect on decreasing pain when compares to patients usual treatment, this option was suggested to be best applied in conjunction with a primary care setting (7).
Seroid injections are a commonly given pain and inflamation releaver associated with certain joints and conditions. Although fequently used, the long term effects are not well established. The short term effects are are established and show a significant reduction in pain and inflamation, but there is a increased risk of bone thinning with the use of some steroid injections (8).
Non-steroidal anti-inflammatory drugs
NSAIDs are the common drugs wich include asprin and ibuprofen. They are used to reduce inflammation as well as lower fevers. Many NSAIDs can be bought OTC, which means they are easy to obtain and relativly inexpensive. But like all drugs should be taken with care and not for extended periods of time due to the increased risk for heart attack and stroke, as well as gastrointestinal bleeding or other problems.
Diet and life style
Diet and life style are one of the most common ways to self-manage chronic and acute pain. The activities very from person to person as to what will work, you need to find what is going to be best for you and what you enjoy. From power lifting, dance, yoga, to running or even going for a walk around the block. The more we move and the better we eat, the better we will feel, it’s as simple as that eat right, move right, feel right (11).
Electrical nerve stimulation can provide short-term pain relief, especially for various types of muscle pain, by sending low-voltage electrical signals from a small device to the painful area through pads attached to the skin. While researchers aren’t sure why it works, they think it may either interrupt the nerve signals to the brain or stimulate the production of “feel good” endorphins, the body’s natural painkillers (9).
CBD oils are todays go to for many conditions. They are useful in reducing inflamation, relaxing muscles and reducing pain.
In practice I have come across a variety of treatments for acute and chonic pain. If you are in pain see one or more of the specialist listed above you can usually find one in your area that offers a free consultation to see if you are a good candidite for their approach to conditions. There is hope out there you might have to get out of your comfort zone, but that is where growth tends to happen.
3. “Trends in Opioid Analgesic Abuse and Mortality in the United States | NEJM.” New England Journal of Medicine, Richard C. Dart, M.D., Ph.D., Hilary L. Surratt, Ph.D., Theodore J. Cicero, Ph.D., Mark W. Parrino, M.P.A., S. Geoff Severtson, Ph.D., Becki Bucher-Bartelson, Ph.D., and Jody L. Green, Ph.D www.nejm.org/doi/full/10.1056/NEJMsa1406143.
4. Center for Behavioral Health Statistics and Quality (CBHSQ). 2017 National Survey on Drug Use and Health: Detailed Tables. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2018.
5. Goertz, C. M., Long, C. R., Hondras, M. A., Petri, R., Delgado, R., Lawrence, D. J., . . . Meeker, W. C. (2013, April 15). Adding chiropractic manipulative therapy to standard medical care for patients with acute low back pain: Results of a pragmatic randomized comparative effectiveness study. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/23060056
9. M., S., B., A., A., & G. (n.d.). Analgesic effects of transcutaneous electrical nerve stimulation (TENS) in patients with fibromyalgia: A systematic review. Retrieved March 04, 2019, from https://www.ncbi.nlm.nih.gov/pubmed/30029964