Monday, December 2, 2013

The Modalities Of Plantar Fasciitis Treatment San Francisco Residents Should Know About

By Angela Briggs


There are a number of modalities of plantar fasciitis treatment san Francisco residents may wish to consider if struggling with the condition. The treatment is centred on a number of goals. Perhaps the most significant of them is reduction of pain. This pain, which characteristically is worse in the morning on waking up, improves as one uses the foot during the day. It is not only a major discomfort but it is also quite incapacitating. Therapy also aims at restoring proper function.

The condition is quite common and you do not need to panic. There is a particularly high incidence among athletes who subject their planter fascia to repeated strain and tearing and consequently results in inflammation. The planter fascia is a band of tough tissue that covers the foot and spans from the heel to the toes. Other groups of persons in whom it is also common include the obese, pregnant women and persons that use improper footwear. On average it occurs between ages 40 and 60.

It is important for the affected individual to seek treatment as soon as possible. Early intervention has been associated with better response to therapy compared to those who seek treatment when the condition has already progressed. One of the conservative approaches that can be used is to have adequate rest and to restrict movement. Affected individuals should as much as possible avoid walking on hard surface such as concrete. Severe pain may be relieved by use of ice packs.

Conservative management has been shown to be quite affective and there is rarely a need for surgery. With proper adherence to the prescribed treatment, close to 90% of people recover fully within one year. These options are either used either singly or in combination depending on the severity of symptoms and the individual patient response. A small number of them, about 5%, need to surgical intervention. The general recommendation is that conservative means should be tried first before moving on to the invasive ones.

Pain control can also be achieved through the use of non-steroidal anti-inflammatory drugs or NSAIDS. The effectiveness of these medications is variable among patients. Usually the relief is just short term for most people and there is a need to take frequent doses. This exposes the affected person to numerous side effects of drugs such as aspirin, naproxen and ibuprofen. Some of the most feared side effects are peptic ulcer disease and renal disease. The available formulations are pills and cream.

Proper shoe wear is a very important preventive as well as curative measure. One should ensure that they use shoes that will help in shock absorption and maintenance of foot arches. Properly maintained foot arches eliminate undue pressure on the heel. Cushioning also helps in reducing the pressure on the heel and so does the use of orthotics. Cushioning should always be done for both feet.

Physical exercise is a very important part of management. All that is needed is a few simple routines every day starting early in the morning. The exercises are mainly stretches of toes and calves. This serves to increase the flexibility of ligaments and the arches of the feet.

If on plantar fasciitis treatment san francisco should remember that response to therapy is widely variable among patients. Whereas others respond within a short period of time, others take much longer. There is need for regular clinic visits to assess the progress.




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