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New Research on Plantar Fasciitis

by Dr. Michael Cerami

The last times I googled Plantar Fasciitis, there were over 2.5 million reference hits. It’s a painful, depressing condition that in some cases can take almost a year to correct.

Plantar Fasciitis

If you’ve had it you know what I’m talking about. We treat the problem at our office but today I want to share some new information and 7 home treatments that should help.

RESEARCH: Plantar Fasciitis is slowly morphing into Plantar Fasciosis. The difference in the name being that we are now considering it to be a tissue “degeneration” problem and NOT an “inflammatory” problem as originally labeled. These conditions are treated very differently.

Feel free to click here to read about a study that reviewed 50 cases of chronic plantar fasciitis.

Click here to watch  a 6 minute video from Dr. McClanahan, DPM and Correct Toes discussing the difference between “itis” and “osis”.

If this is actually the case we need to reconsider anti-inflammatories as a treatment option and consider strengthening and exercising the area.

1-2 months of self-therapy may be to resolve the problem. If you are not getting results after 4 weeks of regular, diligent therapy we suggest you seek the advice of a health professional.

Here are our current recommendations for self-treatment of Plantar Fasciosis:

Stretches:

  1. Bottom of foot (#1)
  2. Raising big toe and alternating with other toes
  3. Reverse toe stretch
  4. Posterior calf stretch

Massage, Ice, Daytime, Nighttime:

  1. Massage Inner (media portion) of the heel
  2. Massage between the 1st and 2nd toe
    1. Work on improving the motion and flexibility of the big toe
    2. Do not over stimulate the area!!
      1. Massage the attachment with a Trigger Point ball –Available at Salt Lake Running Co.
      2. Ice:
        1. Fill the bucket with water
        2. Add ice
        3. Soak for 5-8 minutes and then elevate for 5 minutes
        4. Toe spreaders (Correct Toes)
          1. At nighttime and/or during the day

Shoes and socks:

  • Wide toe box: Try the Altra brand shoe
  • Stiff midsole and slight toe-spring in the forefoot
  • Inserts if you haven’t used any yet
  • Socks: Feetures, Strassburg sock

Taping: Low-dye taping to support the plantar fascia

  • Approximate the heel and the toes: We recommend Rocktape.
  • Feel free to email us and we’ll send you a PDF on how to tape for Plantar Fasciosis.

Dr. Michael Cerami owns Utah Sports and Wellness and has been a competitive triathlete for over 19 years. He is available for a no charge consultation one Saturday per month at The Salt Lake Running Company (700 East store) by appointment. He can be reached at 801-486-1818 or online at www.utahsportsandwellness.com

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