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Taking Charge of Your Health


Hello, I’m Doctor Chris Cato with the Airrosti
Rehab Centers and today we’re going to talk about plantar fasciitis. Now, a lot of people
will associate plantar fasciitis as a running injury, and it’s true we do see a lot of runners
who suffer from this condition, but it actually affects a wide range of individuals. For example,
people who are either overweight or recently gained weight, those individuals who started
a new exercise regimen, and also people who have a high arch or flat arch. And in fact,
it’s one of the most common conditions that we treat at Airrosti. Oftentimes these individuals
seek out traditional care in the forms of traditional physical therapy, stretching,
cortisone shot, and orthotics. Now in the case of orthotics, and we actually will prescribe
orthotics from time to time, orthotics need to be used when there’s a structure or a biomechanical
issue that’s going on with the foot. But today what we’re going to focus on is why Airrosti
is so effective at treating the source and the cause of the pain and inflammation that’s
associated with plantar fasciitis. So, now lets talk about the symptoms of plantar
fasciitis. Most people describe this condition as a burning, painful, pulling, even an ache
in the bottom of the foot and a lot of times near the heel of the foot. And most people
will notice this; it’s more extreme when their first steps in the morning. So, when they
first get out of bed and they take that first step they feel a lot of tension, a lot of
pain, and a lot of pulling on the bottom of the foot. Also individuals who are standing
for a long time that suffer from this condition will also notice pain in the bottom of the
foot as well. What we have here is an anatomy of the foot and the ankle and we are going
to kind of get into some of the biomechanical issues that are going on with this condition. So here’s a closer look at the plantar fascia.
It’s a thick band of fibrous connected tissue that attaches from the base of the calcaneus,
or commonly known as the heel bone, and it comes blends all the way into the toes. The
major role of the plantar fascia is to support the arch of the foot and what can happen is
if you increase loads whether it be weight gain or increase in activity, like say running
and things like that, you start putting pressure down through the arch of the foot which causes
a stretching of the plantar fascia. Over time this creates micro traumas, or tears, which
will lead to the inflammation and pain that is associated with plantar fasciitis. Now
a lot of times people complain specifically of heel pain, which would be right here at
the attachment site of the plantar fascia and the calcaneus so instead of it occurring
along the length of the arch in this case the inflammation and pain is occurring here. Now let’s talk about how the arch affects
plantar fascia. Over here on the right we have a normal foot with a normal arch over
here on the left we have what is considered a flat foot or an individual who may pronate.
Now as you can see here is the main difference between the two is the dropping of the tarsal
bones. That drop is going to put increased pressure or tension along the plantar fascia
and you may experience pain or symptoms along the arch of the foot or at the attachment
of the calcaneus. So that’s flatfoot. When we talk about someone who over pronates, what
I’m meaning is when they walk they’re doing this instead of doing this. And so you can
typically have somebody who has a normal arch from the standing position but when they walk
they start to over pronate and that over pronation is just like this forcing these structures
and putting pressure down on the plantar fascia. Now let’s talk about somebody who has a high
arch. So imagine this arch being even more increased in this direction. So instead of
something like this, an arch being like this, you have an arch that’s like this. There’s
an increased distance between the calcaneus to the base of the toes, and that pressure
is going to put more pressure of the plantar fascia versus someone who has a normal arch. Alright, so now let’s talk about the treatment
portion of plantar fasciitis and why Airrosti is so successful at treating this condition.
One of the first things were going to look at, not only as we talked about earlier, looking
at the bottom of the foot our providers are going to also evaluate the lower leg. And
specifically we’re talking about the gastroc, or the calf muscle. The soleus, that’s up
underneath the gastroc as well as the posterior tibialis, which is kind of on the inside of
the shin. What’s important to note is that all these muscles, the connective tissue the
fascia that’s around those muscles are going to come down blend into the Achilles tendon,
which attaches to the calcaneus. You also have a continuation of that connected tissue
that also blends in with the plantar fascia. Now one of the things that you know you want
to keep in mind is say that her calf is tighter or more restricted, what that’s going to do,
that’s going to cause an increase of the tension on the calcaneus which is also going to put
increase pressure or tension on the plantar fascia. So, what our providers are going to
do once she has kind of gone through the full assessment of evaluating and assessing through
palpation, orthopedic test, muscle test find out where the restriction are in the calf
in the lower leg, as well as in the plantar fascia, and manually they’re going to go through
there and correct those fascia distortions or fascia restrictions. Its kind of like ironing
something out. We are going to straighten out that connected tissue whether they have
adhesions or some scaring tissue along in the calf or around the Achilles tendon. And
we are also going to do some manual work, or myofascial work, along the plantar fascia
also specifically may even pay close attention to the heel where again where the plantar
fascia attaches to the calcaneus. Another important part of the treatment of
plantar fasciitis is the role that the patient pays with the active care. As you can see
here we have the patient foam rolling her lower legs, specifically the gastroc physalis
down to the Achilles, this is to help relieve the tension causing her plantar fasciitis
type pain. The patient will also be given other exercises to do at home. Including working
with a lacrosse ball or golf ball on the bottom of the foot as well as some wall stretches
to help alleviate some of the tightness that’s occurring in the calf. Now, once the patient
has finished their foam rolling and have been taught their at home exercises, we’re going
to apply kinesio tape to the area, one for support and two to help reduce any inflammation.
We’re going to support the plantar fascia as well as the lower leg and the gastroc area. Thank you for watching our video hopefully
you found it informative and educational. If you ever have problems with plantar fasciitis
please don’t hesitate to call thank you and have a great day!

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