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Plantar Fasciitis

“A common source of foot pain that can be simply treated without surgery”

Plantar fasciitis is a very common cause of foot pain. The pain occurs when  the tissue that supports the arch, which is designed to absorb energy while we run and jump, is overloaded repetitively. Repeat overload causes the tissue to degenerate causing pain.

Why your plantar fascia hurts.

Often there is no specific reason for plantar fasciitis. It can be caused by several factors including:
• Tighter calf muscles
• Obesity
• New or increased activity
• Very high arch
• Repetitive impact activity

Symptoms

Common symptoms of plantar fasciitis include:
• Pain on the bottom of the foot close to the heel
• Pain is worse with the first few steps after getting out of bed, which subsides after a few minutes of walking
• Increased pain after exercise
• Swelling on the arch

If you are experiencing foot pain you could be suffering from plantar fasciitis.
Our expert doctors at Spine & Sports Medicine of New York use expertise in innovative assessments to accurately diagnose the cause of your heel pain.

Other diseases that can mimic plantar fasciitis include:

• Fracture
• Bone spur
• Muscle tendinitis

Our Board-Certified Physicians Can Accurately Diagnose the Source of Your Pain

We conduct a thorough clinical evaluation to determine if the pain is generated from plantar fasciitis as well as other conditions that share similar symptoms. We begin our evaluation of your problem with a complete medical history using detailed information gathering tools followed by a focused physical examination. We then confirm our diagnosis with specialized tests which may include an x-ray, ultrasonography, or MRI.

“No surgery is needed to relieve your plantar fasciitis”

Treatments

In almost all cases, nonsurgical treatment options can result in complete resolution of you plantar fasciitis. Although the treatment may take up to 10 months before you see effectiveness.
Activity modification – The first step in treatment is activity modification. It  is important to decrease your workouts and walking speed to decrease the  stress across the plantar fascia. Non-steroidal anti-inflammatory medications may be helpful to decrease the pain associated with inflammation, although  they should not be taken for more than several weeks without consulting us.
Heel lift – Using shoes with a small heel can also temporarily decrease the strain on the plantar fascia.
Calf stretches – Place your hands on a stable wall and lean forward with one knee straight while your heel remains on the ground. Place the other leg in front with the knee bent. Then you push your hips toward the wall keeping your heel on the ground. You hold the position for 10 seconds and relax feeling a stretch through the plantar fascia, achilles heel and calf muscle.
Repeat it 10 times.
Heel drops – Stand at the edge of a stair, or a raised platform that is stable, with just the front half of your foot on the stair and and slowly lower your heels to the lowest point possible and hold for 10 seconds. You should feel a stretch in the plantar fascia, achilles tendon and calf muscles. Repeat it 10 times.
CAM boot– if the pain is not improved, we often trial a boot that keeps your ankle from moving allowing you to walk without placing additional stress on the plantar fascia.

Here’s what you can expect if one of our pain specialists treats your pain:
• Relief of pain to get you back to living.
• Several treatment options available to target the root of the problem
• May be accompanied by physical therapy to stretch the calf muscles
• Body mechanics awareness to eliminate the source of the pain and improve your walking style
• Many patients gain considerable to complete relief with interventional procedures
• No general anesthesia, surgery or prolonged recovery periods to slow you down from your busy schedule
• Thousands of patients have been helped by our innovative approach to plantar fasciitis.

This axial foot MRI demonstrates increased T2  signal (arrows) at the origin of the plantar fascia on the heel bone (calcaneus).

This axial foot MRI demonstrates increased T2
signal (arrows) at the origin of the plantar fascia on the heel bone (calcaneus).

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testimonials

Excellent doctor! Displays genuine care and is very thorough to diagnose problem. Took time to explain the issue. Highly recommended.

Arjun V
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