Plantar Fascittis is an injury in the foot that is caused by a rupture or stretching of the Plantar Fascia. Plantar Fascittis can also be known as policeman’s heel and it is believed that repeated small injuries over time to the Plantar Fascia is the main cause of the inflammation. Here at the Caterham Chiropractic we’re proud to provide treatment for Plantar Fascittis.
Main causes for Plantar Fasciitis.
- Spending lots of time on your feet or doing lots of walking or running when you’re not used to it. If you are inactive in your day to day life then you may be more prone to Plantar Fasciitis.
- If your Achilles Tendon is tight then this can have an affect on your ability to flex your ankle and may make you more likely to damage your Plantar Fascia.
- Having poor cushioning in your shoes could be a cause for Plantar Fasciitis.
- Being overweight will put more stress on the Plantar Fascia and can contribute to Plantar Fasciitis.
- For runner, poor tecniques from starting a race ‘Off The Blocks’ can strech the sole of your feet leading to pain from Plantar Fasciitis.
What is the treatment for Plantar Fasciitis?
The first thing you should have done is Conservative Therapy. You should be seen by a medical practitioner such as a Chiropractor, Physiotherapist, Podiatrist or Osteopath. They will then give advice and give manual therapy on the calf and foot areas. Changing you shoes or modifying your current footwear can also be very helpful. You may be advised to invest in some heel cushions to relieve the pressure from the painful part of your heel. We would highly recommend you give first line treatment for at least three months before considering moving to further treatment such as Shockwave Therapy or steroid injections.
Shockwave Therapy For Heel Pain.
Your first consultation with us is free and we will use this time to ascertain your suitability for certain types of treatment and answer any questions you may have on the subject. If we believe you will need Shockwave Therapy, we will arrange 3 to 4 sessions at weekly intervals for your treatment with our state of the art Stortz Shockwave Therapy machine. Each session of Shockwave Therapy typically takes around 30 minutes, these sessions will include acupuncture, passive stretching advice and footwear. Patients may experience some small discomfort during the procedure and there may be a little redness on the skin after treatment, this is a normal reaction to the treatment. In some instances the foot pain may increase slightly before getting better.
How Does Shockwave Therapy Work For Heel Pain?
It is understood that Shockwave Therapy works in two ways;
– Shockwaves cause micro damage to the tissue in affected areas and in doing so, stimulates healing.
- The treatment has an effect directly on the nerve endings which makes them less sensitive and thus less likely to transmit pain.
The main benefits from Shockwave therapy are not experienced until the patient has had 3 sessions and has an 80% success rate with clients. The effect of Shockwave Therapy is usually permanent and there will be no reason to return for further treatment.
The National Institute for Health and Clinical Excellence (NICE) have recently evaluated the effectiveness of Shockwave Therapy for heel pain in 2009. Their recommendation was that the treatment is effective and should be offered to patients with heel pain. You can read all about NICE here www.nice.org.uk.