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Plantar fasciitis
Plantar fasciitis complications
It is possible that local scar healing occurs, which means that after a period of rest and treatment, the local inflammation in plantar fasciitis may heal with scarring. Therefore, continuing to walk and bear weight on the foot may initially result in some restricted movement or still be accompanied by local pain. It is advised to reduce unnecessary weight-bearing on the foot and continue local daily heat therapy. After a period of recuperation, the degree of restricted local movement will gradually improve. Other complications may still occur, including local pain, restricted movement, and swelling. These are mainly due to excessive local weight-bearing or wearing shoes that are too tight.
The difference between Achilles tendinitis and plantar fasciitis
Plantar fasciitis and metatarsal tendinitis, these two diseases are essentially the same type of disease clinically. In professional clinical terms, it is called metatarsal tendinitis, commonly known as plantar fasciitis. The anatomical location is mainly on the sole of the foot, extending from the 1-5 metatarsophalangeal joints to the position of the calcaneal tubercle. Our soles have a very thick layer, resembling a tendon sheath, which is a very important structure that supports the arch and normal walking. Plantar fasciitis and metatarsal tendinitis essentially occur in the same location, with only a difference in terminology.
How long should you rest for plantar fasciitis?
For an initial episode of plantar fasciitis, it is recommended to rest for at least two to four weeks, avoid exposure to cold and weight-bearing activities, and perform local physical therapies such as heat therapy, physiotherapy, and acupuncture. If there is no significant improvement after about a week of treatment, it is advisable to visit a hospital for further consultation. If necessary, pain point block treatment may be administered once a week, with a total of two to four sessions constituting a treatment course, which can also yield good therapeutic effects. If there is still no significant improvement, it is suggested to conduct a local radiographic examination to ascertain any abnormal bone changes, and based on the results, further guidance and treatment will be provided.
Where to massage for plantar fasciitis
Plantar fasciitis is a common condition seen in clinics, often more frequent among women who wear high heels for extended periods on uneven surfaces, as this may increase the likelihood of developing the condition. Due to prolonged tension in the soles of the feet, coupled with extended periods of standing and walking, this phenomenon can easily occur. Once it happens, treatments such as heat application, physiotherapy, massage, and electric heating can help alleviate the symptoms. Methods like massage and heat application can stimulate increased local blood flow, expand blood vessels, and accelerate blood flow, effectively alleviating symptoms and thus easing the discomfort caused by plantar fasciitis. It is best to rest strictly in bed for this condition. When standing, the weight-bearing on the affected foot makes the pain more pronounced. Symptoms naturally alleviate when the fascia is relaxed during rest. Treatments such as physiotherapy and massage, as well as taking medications that promote blood circulation and relieve pain, are needed. The improvement is a prolonged process, but conditions are prone to recurrence. It is advisable to wear softer sports shoes more often, with softer, thicker insoles to reduce the frequency of outbreaks.
Where to apply moxibustion for plantar fasciitis?
In cases of plantar fasciitis, moxibustion on acupuncture points such as Zu San Li and Qu Chi can effectively alleviate pain. However, relying solely on moxibustion for treatment is not very effective; it only serves as a supplementary role. For treating fasciitis, it is crucial to rest adequately and avoid excessive fatigue. Shockwave therapy can be utilized for treatment and requires a prolonged, gradual approach to condition management. Daily warm water foot soaks can also help mitigate symptoms and accelerate healing.
Will plantar fasciitis cause pain on the top of the foot?
Generally speaking, it is not the case. Plantar fasciitis is mostly characterized by distinct pain at the point where the muscles and fascia on the bottom of the foot connect with the bones, especially during walking or other activities, where a clear pain point can be observed. Top-of-the-foot pain should not be ruled out as being caused by other reasons, such as soft tissue injuries on the top of the foot, gout, or local tissue damage due to accidental strains. Therefore, plantar fasciitis does not induce pain on the top of the foot, unless there are soft tissue injuries and inflammation in both the plantar and dorsal areas of the foot, which would result in corresponding pain in both areas.
Causes of Plantar Fasciitis
Regarding the causes of plantar fasciitis, the most common cause observed clinically is prolonged and excessive weight-bearing walking. Local excessive stimulation, exposure to cold, or trauma can also trigger plantar fasciitis. The main symptom of plantar fasciitis is pain in the sole of the foot. The methods to manage it include reducing local stimuli. For a period of time in the near future, try to avoid weight-bearing walking as much as possible, persist in using topical Chinese herbal medicines that invigorate the blood and dispel stasis which are boiled and then used for fumigation washing daily. Oral non-steroidal anti-inflammatory and pain relief medications, and blood-activating stasis-dispelling medications should be taken for treatment. Topical plasters that invigorate the blood and dispel stasis can also be used locally. Gradually, recovery will be achieved.
Is plantar fasciitis prone to recurrence?
First of all, it is necessary to explain that patients with plantar fasciitis, even after recovery, can easily relapse if they overuse their feet for a long time, or are exposed to prolonged cold and damp conditions. Therefore, plantar fasciitis is prone to recurrence. It is important to avoid long periods of weight-bearing walking, minimize local irritation, and never let the feet become cold. It is essential to persistently perform hot washes daily. During the hot wash, peppercorns and salt can be added to the hot water for washing, or external use of traditional Chinese herbs that activate blood circulation and remove blood stasis can be boiled and used for fumigation washes. Additionally, taking non-steroidal anti-inflammatory and pain-relieving drugs orally along with drugs that activate blood circulation and remove blood stasis can effectively treat plantar fasciitis. (Please follow the doctor's prescription for medication use.)
How long does it take to recover from plantar fasciitis?
For the disease of plantar fasciitis, if treated under normal conventional methods, the recovery time is generally around four to six weeks. However, during the treatment period, it is crucial to strictly follow the treatment principles, such as prohibiting excessive weight-bearing walking, strenuous exercise, and overworking. At the same time, some physical therapy methods should be coordinated, such as massage, acupuncture, electrotherapy, and magnetotherapy. In more severe cases, occlusion methods can be used to alleviate local pain. Generally, the time frame is four to six weeks. If the results from regular conservative treatment are not satisfactory, surgical treatment may be required later on.
Plantar Fasciitis Physical Therapy Methods
The most common clinical treatments for plantar fasciitis are, firstly, injection therapy, secondly, acupuncture, and thirdly, small needle knife therapy. Among these, injection therapy has the most noticeable effects, but it also has a significant problem. Since the injections contain steroids, excessive use of injection therapy can not only fail to alleviate symptoms but may actually damage the plantar fascia, leading to a worsening of plantar fasciitis symptoms. Therefore, it is crucial to limit the frequency of injection treatments to no more than once or twice a month. If the symptoms of plantar fasciitis do not improve significantly with physical therapy and the pain progressively worsens, then surgical treatment may be necessary. The goals of surgery are firstly to release the plantar fascia and secondly to remove bone spurs, thereby completely alleviating the symptoms of plantar fasciitis pain.