10% of the US population has heel pain, are you one of them?

The foot is a complex and dynamic structure that is prone to certain injuries. If you are experiencing heel pain, pain in the base of your foot, while walking you may be suffering from a condition known as Plantar Fasciitis.  The doctors at Performance Rehabilitation & Regenerative Medicine are here to help get you Get Better, Faster – AND Without Surgery!

Plantar Fascia Explained

The Plantar fascia is a thick fibrous band of tissue on the bottom of the foot that spans from our heel to our toes. This structure is primarily responsible for supporting the arch and absorbing shock. It is not uncommon for this to be a source of pain in the foot and is considered by many experts, the most common cause of heel paStretching heel pain plantar fasciitis in. Small tears that begin to occur in the fascia will lead to both inflammation and scar tissue formation. When scar tissue forms this creates adhesions in the fascia decreasing the mobility of the tissue. One of the major symptoms of plantar fasciitis is a stabbing pain within the first few steps when walking. As the fascia begins to stretch or loosen, the pain will decrease.

In chronic conditions, symptoms will return after prolonged bouts of sitting and standing. This condition is commonly seen in runners but can also occur in individuals with improper footwear with poor support.

Causes of Plantar Fasciitis?

The plantar fascia is designed and operates as a bowstring that aids in shock absorption and supports the arch of the foot. When we walk we stretch the plantar fascia. The repetitive over-stretching of this fascia can cause the tissue to become inflamed and even cause micro tears. The bodies biomechanics also play a role in the way the plantar fascia functions. Poor mechanics can lead to abnormal strain placed on the area, which can make the plantar fascia weak and more susceptible to injury.  Any repetitive activities that require walking or standing can lead to plantar fasciitis problems.  One key area that is often overlooked that will stress the foot is worn out shoes that no longer have enough cushion as well as improper fitting shoes.

Physical Therapy as a treatment for Plantar Fasciitis

Physical therapy is a form of healthcare designated to problems with the musculoskeletal system that often make it difficult for us to move without pain.  Physical therapists will help strengthen and rehabilitate injured structures  – Getting you better, faster!  After a thorough physical therapy examination your therapist will talk to you about the problems you are having and how he or she can strengthen and rehabilitate your injury.

Treatment for plantar fasciitis can range from conservative to surgical. Traditional treatments typically consist of physical therapy and chiropractic care. These treatments may include icing, taping, splinting and joint manipulation. Other things that help this condition include rest, change in footwear and activity modification. Medical intervention consists of non-steroidal anti-inflammatories, injection based therapy, Regenerative Medicine and surgical procedures. Most relief is seen when a combination of these
treatments is conducted and typically plantar fasciitis resolves in about 6 weeks of treatment.

If you are suffering from stubborn plantar fascia or heel pain, and have any questions, or if you would like more information on the non-surgical orthopedic options that are available, please feel free to contact one of our patient care coordinators at 908-754-1960 or you may contact us online.

About the Authors:

Joseph Mejia D.O., F.A.A.P.M.& R, is a graduate of University of Michigan and West Virginia School of Osteopathic Medicine. He is Board Certified in physical medicine & Rehabilitation and Sports Medicine. Dr. Mejia received his Fellowship Training in Interventional Pain Management from University of Medicine and Dentistry. He has advanced training in Regenerative Medicine and is the Medical Director and Partner of Performance Rehabilitation & Regenerative Medicine.

Vincent J. Diana D.C. Is a graduate of New York Chiropractic College. He is a Board Certified Chiropractic Physician with licenses held in New Jersey and Pennsylvania. Dr. Diana is a Chiropractic Physician at Performance Rehabilitation & Regenerative Medicine.


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