Fasciitis plantar treatment. development of the inflammatory process. We treat plantar fasciitis with folk remedies

Understanding the etiology of the problem and guiding treatment accordingly is key to successful treatment plantar fasciitis. During the examination and physical examination, close attention must be paid so as not to miss other possible reasons heel pain. A stepwise, evidence-based approach to treatment will help achieve good results.

If your first few steps out of bed in the morning cause severe pain in the heel of your foot, you may have plantar fasciitis, an overuse injury that affects the sole of your foot. A diagnosis of plantar fasciitis means that the tough, fibrous bands of tissue (fascia) that connect your heel bone to the base of your fingers have become inflamed.

You are more likely to develop this condition if you are a woman, are overweight, or have a job that requires you to walk or stand on hard surfaces a lot. You're also at risk if you're walking or running if you have tight calf muscles that limit how far you can bend your ankles. People with very flat feet or very high arches are also more prone to plantar fasciitis.

The condition usually begins gradually with mild soreness in calcaneus, often referred to as a stone bruise. You're more likely to feel it after (not during) your workout. Pain classically occurs immediately after getting up in the morning and after a period of sitting.

If you don't treat plantar fasciitis, it can become chronic disease. You may not be able to maintain your activity level and you may develop symptoms of foot, knee, hip, and back problems because plantar fasciitis can change the way you walk.

Treatment of plantar fasciitis

Stretching - the best treatment plantar fasciitis. It may help to try and keep the weight on your foot until the initial inflammation has subsided. You can also apply ice to the affected area for 20 minutes four times a day to help relieve your symptoms. Often, a doctor will prescribe non-steroidal anti-inflammatory drugs such as ibuprofen or naproxen. Home exercises to stretch the Achilles tendon and plantar fascia are the mainstay of treatment and reduce the chance of recurrence.

In one exercise, you lean forward against a wall with one knee and heel on the ground. Your other knee is bent. Your heel ligament and arch of your foot stretch as you bend over. Hold for 10 seconds, then relax and straighten up. Repeat 20 times for each painful heel. It is important that the knee is fully extended on the extended side.

In another exercise, you lean forward on a tabletop with your legs apart, one foot in front of the other. Bend your knees and squat down, keeping your heels on the ground for as long as possible. Your heel ligaments and arches of your feet will stretch. Hold for 10 seconds, relax and straighten up. Repeat 20 times.

About 90% of people with plantar fasciitis improved significantly after two months of initial treatment. You may be advised to use shoes with shock-absorbing soles, or to equip a ready-made device for inserting into shoes, like a rubber heel pad. Your foot can be glued in a certain position.

If your plantar fasciitis continues after several months of conservative treatment, your doctor may give you an injection into your heel with non-steroidal anti-inflammatory drugs.

If you still have symptoms, you may need to wear a cast for two to three weeks or a positional splint while you sleep. In some cases surgical intervention necessary for fabrics with chronic ties.

Stretch Program:

• Place the injured leg on the other leg.
• Using the hand on the affected side, grasp your affected leg and pull your toes back toward your shin. This creates tension and stretch in the arch and plantar fascia.
• Check for correct stretch position by gently rubbing thumb side, over the arch of the affected leg. The plantar fascia should be firm, like a guitar string.
• Hold the stretch for up to 10 seconds. 10 reps.

Do at least three repetitions of stretches per day. But do not abuse too frequent stretching. Most important time to stretch, this is before taking the first step in the morning and after a period of prolonged sitting.

Anti-inflammatory drugs:

• Anti-inflammatory drugs can help reduce inflammation in the arch and heel of your foot.
• Use the medicine as directed on the package. If you tolerate it well, take it daily for two weeks and then stop for one week. If symptoms worsen or return, resume within two weeks, then stop.

Arch support:

• The inserts provide additional arch support and a soft cushion.
• Based on the individual needs of your foot, you may need custom inserts.

Additional stretch, Achilles tendon stretch:

• Place a shoe rack under the affected foot.
• Place the affected foot behind your uninjured foot with your toes pointing back towards the heel of the other foot.
• Lean against the wall.
• Bend your front knee while hind leg should be straight, the heel should be firmly pressed to the ground.
• Hold the stretch for 10 seconds. Repeat 10 times.
• Stretch at least three times a day.

The diagnosis "" most often causes symptoms of pain in the heel area. When a pathology occurs in a person, inflammation of the plantar fascia is observed, which is a thin ligament necessary for attaching the calcaneus to the foot. The plantar fascia is needed to maintain the arch of the foot and the normal ability to walk, stepping on the heel, and if it is injured or inflamed, then the person cannot fully move. The condition of plantar fasciitis is characteristic of athletes, people whose lifestyle is associated with constant being on their feet, and it can be noted that women suffer more.

The disease affects the foot area due to the constant load that falls on the legs. Thanks to physiological characteristics feet, especially the heels, when walking, a person has the function of cushioning and softening the gait, which prevents injury and discomfort. There are many factors that can cause fasciitis, which we will consider in more detail.

Causes

The plantar fascia can be compared to a stretched string that can take on shocks, stretching, while cushioning and without causing injury to other tissues. But if the load increases, then pathological conditions can occur in the structure of the fascia, such as rupture, tear, stretching, and it can no longer fully protect the foot from impact. external factors. An inflammation process appears, which can last more than one week or even more than one month.

The causes of the pathological condition of the plantar fascia are associated with various factors, but in the first place there is an increase in the load on the feet and the heel area. It happens with obesity, especially if the set excess weight happens quickly. Therefore, risk factors can be identified:

Pregnancy. During pregnancy, a woman intensively gains weight, plus an increase in the abdomen affects the nature of the gait. The ankle suffers from this and the diagnosis of "plantar fasciitis" is not uncommon.

Metabolic disease. Many people with impaired metabolism have a change in weight - obesity. Overweight can cause hormonal imbalances oral contraceptives, stress.

Athletes. If during the period of intensive training the muscles are in active state and resist injury and inflammation, after a person has stopped playing sports, the risk of getting a diagnosis of fasciitis increases. Often, former athletes gain weight, their strength is weakened. muscular apparatus which affects health.

Not only pregnant women and former athletes can suffer from pathology. People whose lifestyle or work is associated with a long stay on their feet are subject to inflammation in the foot area. Salesmen, teachers, workers of factories and factories, catering, as well as athletes - athletes, runners are equated to this category of people. It is worth noting that the disease most often occurs after 40 years, when age-related disruptions occur in the body.

Another group of reasons is related to pathological conditions stop. Plantar or, as it is also called, plantar fasciitis, can occur in people with flat feet, clubfoot, and gait deviations. Incorrect shoes negatively affect the fascia of the foot, therefore, when choosing shoes, you need to pay attention to the fact that the insoles are not too soft and there is an arch support on the shoes. If the sole begins to wear out or crack, then it is better to replace such shoes and not risk your health.

It is worth noting that calluses, spurs and cracks do not cause the appearance of plantar fasciitis, but they negatively affect overall hygiene and walking comfort.

But foot injuries, especially in the heel area, can lead to unpleasant inflammation, which will take a long time to heal.

Symptoms

The main symptom of plantar fasciitis is soreness in the heel area, and one heel is most often affected. If not carried out timely treatment and continue to put pressure on the legs, then after a while the inflammation may begin on the second leg. By the way, the disease tends to show symptoms for a long time, being in acute condition, but after a while, without proper attention and treatment, the pathology can turn into a chronic condition.

Consider the features of fasciitis. Pain in the heel is more pronounced at the beginning of the load, that is, when getting out of bed, with the first steps after rest. Doctors even gave the name of such a feature - "pain of the first step." Therefore, the symptoms of pain most often appear in the morning. When a person "diverges", the symptoms decrease. On the early stages the pain completely disappears and does not manifest itself until the person gives a strong load on the muscles of the legs and heel.

With progression, the symptoms of pain may appear during the day with sudden movements, long standing or sitting, or not disappear at all, but slightly weaken. In advanced cases, in order to cure the pathology, the patient is issued a sick leave.

The pain itself manifests itself in the area of ​​\u200b\u200bthe sole of the foot, closer to the heel. In addition to pain, there is muscle stiffness, burning or, conversely, numbness. In the acute period, it becomes difficult for a person to climb stairs and walk for a long time, which affects the quality of life.

Diagnostics

Appointed after comprehensive examination to rule out other pathologies. To make a diagnosis, the doctor examines the nature of the complaints, for which he conducts a survey, performs palpation and examination. To rule out torn ligaments, the doctor asks to perform flexion and extension of the foot, and also checks the ability to perform other movements.

In order not to be mistaken with the diagnosis, X-ray diagnostics is prescribed, which allows to exclude bone fractures. Additionally, magnetic resonance imaging and electromyelography may be needed. In general, imaging tests and patient interviews are often sufficient to establish a diagnosis.

Treatment

If you do not start treatment and endure pain, then they can last up to a year and a half, while periodically subsiding and reappearing. The longer fasciitis is left untreated, the more likely it is to end up on the operating table. The goal of treatment is to eliminate inflammatory process and causes of pathology.

Despite the chosen treatment option, the ankle is also necessarily prescribed. So, you can do stretching - gymnastics aimed at stretching the muscles of the foot, calf muscles. At home, other types of exercise therapy should be performed, the exercises for which the doctor will select.

The initial stage of treatment is to ensure rest for the legs, you need to reduce the load, apply compresses at least 3 times a day.

Effective for the treatment of fasciitis recipe baths with flaxseed and peeling potatoes. 2 handfuls of flax seeds are taken and mixed with potato peels, after which the resulting mixture is poured with half a liter of water and boiled until thickened. When the porridge has cooled, you need to keep your feet in it for 15-20 minutes. The procedure ends with rinsing of the feet. warm water, while scraping off the keratinized skin. You can also use your recipe traditional medicine if there are no contraindications.

You can reduce the manifestation of pain by prescribing a course of drugs from the NSAID groups - Diclofenac, Ibuprofen, Meloxicam. Ointments based on NSAID funds. To improve blood circulation and reduce inflammation, a massage course is prescribed, which must be combined with gymnastics.

Conservative methods

If you take modern techniques treatment, then kinesiology taping is distinguished. The method consists in applying an adhesive breathable kinesio tape to the heel area, which reduces muscle pain. The essence of the treatment is to stretch the muscles with a tape, which reduces the load and increases the circulation of the lymphatic, intercellular fluid, and also stimulates blood circulation in the foot.

Here are some popular treatments for plantar fasciitis. A common method of wearing an orthopedic insole is an orthosis. In order to make them, you need a cast of the foot. The action of the insoles is to reduce pain, improve blood circulation and eliminate inflammation. If desired, you can make orthopedic ones using old insoles, cotton balls and a bandage, following the instructions.

Both separately and in combination with insoles, you can use a night splint in the form of a plastic boot. The splint is put on at night and prevents stretching of the plantar fascia. Using this method of treatment, you can achieve a reduction in pain in the morning. Of the minuses, discomfort during use can be noted.

A popular treatment is shock wave therapy. Also at severe pain blockades with the help of hormones and analgesics can be prescribed. In extreme cases, it is necessary to perform an operation in which a part of the fascia is excised or other necessary manipulations are performed.