Posts for category: Sports Injuries
Plantar fasciitis is one of the most common causes of foot pain, especially among athletes, older adults, and people who spend a lot of time on their feet. If you’re overweight or if you have a certain type of foot shape or walking style you can also be more prone to plantar fasciitis.
The good news: At Carolina Foot Specialists we offer custom treatment plans to help men, women, and children eliminate the painful symptoms of plantar fasciitis/heel pain, so they can get back to the activities they love — without pain.
However, even when treated successfully plantar fasciitis can return. Dr. Brown and Dr. Saffer offer the following preventive tips.
1. Get lots of rest
Since plantar fasciitis pain is caused by irritation and inflammation, staying off your feet can be helpful in reducing both these problems, so pain is reduced too. Keep your feet elevated while you rest and limit your exercise to low-impact activities like cycling or swimming. Avoid any activities that involve running or jumping for a period of time. And if your job requires a lot of standing, see if there's a way to incorporate sitting more often or using an elevated stool to take some pressure off your feet.
2. Stretch your feet
Gently stretching the bottoms of your feet before exercise or activity can help “warm up” the plantar fascia and the muscles that surround it, so your entire foot is more flexible and therefore less prone to injury and pain. Plus, stretching improves circulation which helps the area heal. During your office visit, we can provide you with specific exercises that can help condition your foot without straining it.
3. Night Splints
Night splints are an essential part of the treatment plan to avoid reoccurring plantar fasciitis. Night splints work by stretching the calf (Gastroc-soleus muscle) and plantar fascia of the foot while you sleep. Night splints also help provided the supportive stretching the user may need throughout the day while they are on their feet. Both of our locations have various night splints and we make sure that the appropriate style and fit is made for each individual patient.
4. Lose excess weight
Extra pounds mean more load on your feet, especially on your arches. Taking off that weight can reduce the strain on your plantar fascia ligament and the other structures that support your feet. Low impact exercise such as biking, yoga, and swimming will reduce excess load on the feet while you are recovering from plantar fasciitis.
5. Wear the right shoes
Good arch support is a big part of preventing a recurrence of plantar fasciitis, and you also want to be sure your shoes provide your feet (and your ankles) with ample support as well. If you’re active, it’s really important to replace athletic footwear on a regular basis since the structure of your shoes can wear down over time. If you can, limit your use of footwear with flat bottoms, like flip-flops and slippers since these provide no arch support at all. Our Foot care specialists will recommend the appropriate athletic shoe for your specific individual activity.
6. Invest in custom orthotics
Custom orthotics (special shoe inserts custom designed and made just for you) are one of the best ways to prevent plantar fasciitis from recurring. Unlike over-the-counter inserts that use a one-size-fits-all approach, custom orthotics are based on your foot shape and on the issue, you need to have treated for far better results. Plus, they’re built to last, which means they can save you a lot of money in the long run.
7. Schedule a visit at the first sign of pain
Plantar fasciitis is very common, and there are plenty of ways to treat it. One of the best ways to prevent painful symptoms from recurring is to schedule an office visit at the first sign of discomfort so you can get early care that can prevent the problem from progressing.
Don’t let foot pain stand in your way
Plantar fasciitis is just one of the causes of chronic foot pain. No matter what’s behind your painful symptoms, one thing’s for sure: Getting prompt treatment is one of the best ways to prevent your problem from becoming a lot worse. Don’t let foot pain interfere with your lifestyle. If you’re having foot pain or other foot or ankle symptoms, the skilled team at Carolina Foot Specialists can help. To schedule your consultation and evaluation, contact the practice today.
WHAT’S THE DIFFERENCE BETWEEN PLANTAR FASCIITIS AND PLANTAR FASCIOPATHY?
IS PLANTAR FASCIITIS AND PLANTAR FASCIOPATHY TREATED DIFFERENTLY?
CHRONIC PLANTAR FASCIOPATHY TREATMENTS
Treatment options plantar Fasciopathy
Shockwave Therapy (EPAT)
Platelet Rich Plasma and Amniotic Injections
Radio Frequency Ablation (TOPAZ)
The Tenjet System for Chronic Plantar Fasciopathy (Our practice is currently researching this new technology and looking at long term studies)
WHAT’S THE BEST TREATMENT OPTION FOR CHRONIC PLANTAR FASCIITIS TREATMENT?
Acute treatment for Plantar Fascia patients includes:
Check out this great article on self care tips to soothe aching feet!
I wanted to spend some time today addressing a common athletic foot injury that I see very commonly in women. The injury that I frequently see is a metatarsal stress fracture. This short blog will give you valuable information of how to recognize and treat this common sports related injury.
Typically a metatarsal stress fracture will presents acutely with pain and swelling on top of foot just at the base of the lesser toes. The most common symptom is pain and swelling to the dorsal forefoot with or without trauma. Stress fractures often result from increasing the amount or intensity of an activity too quickly. This could be due to increasing the amount of mileage associated with walking or running while training for a road race. Other factors found more commonly in women would be poor bone density (osteoporosis), low body weight, and menstrual disturbances.
Oftentimes I will see patient's that present with pain four weeks prior and they may have initially had a X-ray that was negative for a stress fracture. When we see a patient for the first time four weeks after the symptoms manifested we then take a repeat X-rays which shows a stress fracture. It may take 10-14 for a stress fracture to be visible on X-ray examination. Typically bone callus on both sides of the metatarsal will confirm the stress fracture is healing. If a metatarsal stress fracture is not promptly treated with immobilization with a cam walker and reduction of activity this could lead to further swelling/pain and possible delayed healing of the fracture.
Stress fractures take 6-8 weeks to heal and are treated with either a surgical shoe or cam walker boot. We do advocate low impact non-weight bearing activity to keep patient's active such as swimming or biking during the healing phase.
A protein deficiency, along with an overall calorie-deficient diet can relate to associated medical problems. One of these could include loss of regular menstrual cycles. Estrogen levels decline when menustration stops. This drop in estrogen leaves the bones in the body more prone to a stress fracture.
I usually recommend that women over 40 follow up with their family doctor for a bone density test. Certain blood work can be ordered such as determination of calcium, potassium, and magnesium levels which are vital for proper bone health.
If you have noticed increased pain and swelling on the top of your foot this could be a stress fracture. This is not normal and it is essential that this be treated to ensure the fracture heals correctly.
Dr. Brown and Dr. Saffer have all the available clincial and diagostic tools to diagnosis this condition correctly and can expedite the healing of this common sports related foot injury.
If you have suffered from chronic heel pain and your symptoms have not improved with traditional conservative treatments options then we may have a solution that will cure your heel pain for good.
We are offering a new treatment modality for chronic heel pain called (EPAT) Extracorpeal pulse activation technology. Intense pulse sound waves are introduced into the soft tissues to break up scar tissue and increased blood flow to the injured area. This procedure reduces pain and inflammation as well as stimulates your own bodies healing mechanism.
The advantages of this procedure are:
2)No down time
3) No anesthesia
4) In office procedure
Typically, the procedures takes 5 minutes and is done weekly for three weeks.
After the treatment you will experience decreased pain and begin to have relief from symptoms which continues to improve over a 3-5 week period.
So, if you experience chronic heel pain make an appointment with our practice to see if you are a candidate for EPAT.