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    • CommentAuthorrebisch
    • CommentTimeMar 27th 2013 edited
     
    As a plantar fasciitis sufferer, I’ve taken my interest to create a little plantar fasciitis section on my hobby Web site. One curious aspect of plantar fasciitis has intrigued me: how plantar-fasciitis-afflicted NBA players like Pau Gasol and Joakim Noah can get back on the floor so fast while the rest of us struggle for a cure. I talked with Dr. Jeffrey Ross, Associate Clinical Professor in the Baylor College of Medicine, who works with pro athletes, and he has an interesting and instructive outlook. In case they might be of interest to others who are afflicted, I wrote them up in a little article, "Plantar Fasciitis – Fast Bounce Back in the NBA,"
    I hope Dr. Ross’s perspectives and advice help others as it has helped me.
    • CommentAuthornoreen
    • CommentTimeSep 12th 2013 edited
     
    I had it for about 6 months and that's a problem in NYC when you have to walk everywhere. I went the podiatrist route but that didn't work for me and the boot and the orthotics were expensive (and uncomfortable). I finaly found an orthopedic massage therapist practically next to my office and that worked great. they do icing, stretching (fully body stretches are needed) massage to break down the scar tisue (painful) and taping afterwards which stays on for about a week. Each treatment keeps me going for about 3 weeks and it's gradually going away.
  1.  
    Plantar fasciitis is described as an inflammatory process at the origin of the plantar fascia at the inside corner of the heel. In the acute phase of the injury, there is tissue trauma i.e. micro tearing of the fascia and a subsequent inflammatory reaction. This may be associated with some visual swelling at the heel.

    The two things that have been shown to be the biggest contributors to plantar fasciitis and foot pain are not high arches or flat feet.

    The common presentation of plantar fasciitis is a pain with the first steps in the morning, pain with the first steps after sitting/resting, and a gradual increase in pain with prolonged standing and walking.

    Principles of Treatment:

    - Activity Modification

    - Specialized Manual Therapy Techniques: Techniques such as ART and Graston Technique to loosen scar tissue and to break the adhesions or “knots” in dysfunctional tissue at the heel as well as throughout the lower extremity chain. It is very important to address the soft tissue restrictions in the calf area as these muscles can directly influence the position of the heel.

    - Differential Diagnosis: In some circumstances, chronic heel pain can be the result of sciatica. This is due to irritation or entrapment of the sciatic nerve or one of its branches.

    - Stretching: Stretching exercises are very important to correct the abnormal position of the heel while stretching the calf so as to not place an asymmetrical strain on the tissues that attach to the heel.

    - Strengthening: Graded and controlled resistive exercises to recondition damaged tissue and to create the global circulatory effect needed for healing i.e. push in the good and push out the bad.

    - Altered Biomechanical Forces: Use evidence-based strategies such as taping techniques and foot orthotic fabrication to control damaging biomechanical forces.

    - Home Exercise Program: The rest is up to you! Compliance with your home exercise program is paramount to a speedy recovery.

    - Take the Next Step: Please read our e-book entitled Plantar Fasciitis Treatment Guide for more information.