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'Tis the Season for Plantar Fasciitis
American Orthopaedic Foot & Ankle Society Offers Advice for Treatment of Heel Pain
| Source: AOFAS
ROSEMONT, IL--(Marketwire - December 21, 2009) - Holiday shopping and holiday feasting may
make you a prime candidate for a case of plantar fasciitis. Prolonged
walking or standing and an increase in body weight are two leading causes
of plantar fasciitis, a painful overuse injury affecting the sole of the
foot, warns the American Orthopaedic Foot & Ankle Society (AOFAS).
According to the AOFAS, plantar fasciitis typically starts gradually with
mild heel pain. The pain classically occurs with the first step in the
morning. Treatment options include stretching exercises, and modifying
activities until the initial inflammation goes away. Ice application to
the sore area for 20 minutes three or four times a day may also relieve
symptoms. Your orthopaedic surgeon may also prescribe a non-steroidal
anti-inflammatory medication. But your best course of action is a routine
of home exercises to stretch the Achilles tendon and plantar fascia.
Benedict DiGiovanni, MD, Associate Professor, Department of Orthopaedics at
the University of Rochester Medical Center (NY) and active AOFAS member,
treats many patients with plantar fasciitis. He offers the following
suggestions on treatment options. "A key component of a plantar fascia
specific stretching program is when it is performed and how often. Based
on findings from our research work, I instruct patients to perform the
stretch prior to the first step in the morning and prior to weight bearing
after periods of inactivity, such as sitting for lunch or driving in the
car. Most patients will perform the stretch 4 - 5 times per day for the
first month of treatment, and then as needed based on symptoms. Patients
are also instructed to stretch the Achilles tendon twice a day, morning and
evening. In addition to stretching exercises, we suggest ice, over the
counter anti-inflammatory medicine, and inexpensive over the counter soft
arch supports."
Plantar fasciitis has been known to side-line major league athletes such as
the recent case with New York Giants quarterback Eli Manning. Ninety
percent of people with plantar fasciitis improve significantly after two
months of initial treatment. Shoes with shock-absorbing soles or over the
counter arch supporting inserts may help alleviate pain. Another treatment
protocol is taping the foot to support the arch and plantar fascia. If
heel pain continues after a few months of conservative treatment, your
orthopaedic surgeon may suggest heel injections with steroidal
anti-inflammatory medications. Walking casts or positional splints are
other options for treatment of plantar fasciitis.
Treatment of plantar fasciitis is important because it has the potential of
turning into a chronic condition. Plantar fasciitis may prevent you from
keeping up with your current level of activity and you may also develop
symptoms of foot, knee, hip and back problems because of the way plantar
fasciitis changes the way you walk.
The AOFAS website www.aofas.org contains public education resources on the
treatment of plantar fasciitis including a specific stretching program to
alleviate the pain. The site also features a surgeon referral service that
makes it easy for patients to find a local orthopaedic surgeon specializing
in foot and ankle care.
About the AOFAS
The AOFAS promotes quality, ethical and cost-effective patient care through
education, research and training of orthopaedic surgeons and other health
care providers. It creates public awareness for the prevention and
treatment of foot and ankle disorders, provides leadership, and serves as a
resource for government, industry and the national and international health
care community.
About Orthopaedic Foot and Ankle Surgeons
Orthopaedic foot and ankle surgeons are medical doctors (MD and DO) who
specialize in the diagnosis, care, and treatment of patients with disorders
of the musculoskeletal system of the foot and ankle. This includes the
bones, joints, ligaments, muscles tendons, nerves, and skin. Orthopaedic
foot and ankle surgeons use medical, physical, and rehabilitative methods
as well as surgery to treat patients of all ages. They perform
reconstructive procedures, treat sports injuries, and manage and treat
trauma of the foot and ankle.
Orthopaedic foot and ankle surgeons work with physicians of many other
specialties, including internal medicine, pediatrics, vascular surgery,
endocrinology, radiology, anesthesiology, and others. Medical school
curriculum and post-graduate training provides the solid clinical
background necessary to recognize medical problems, admit patients to a
hospital when necessary, and contribute significantly to the coordination
of care appropriate for each patient.
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