Foot Injuries

Resolving Plantar Fasciitis

Of all the conditions that we treat Plantar Fasciitis (PF), is one of the most common. In fact, between the running community and the general public I see new cases of Plantar Fasciitis almost every day. This can be a very frustrating condition for a lot of people who previously have achieved only minimal or no results. The key to a complete resolution of Plantar Fascitis is to find what structures are involved, treat them and re-establish normal movement patterns.

Biomechanical Analysis

One of the first things we do with our patients is a gait analysis and a few balance/strength tests; this gives us an overall picture of the stability, symmetry and muscle firing patterns.

Common things we look for are:

  • Abnormal motion of the feet or ankles.

    • Abnormal toe motion: This would refer to a lack of toe push off (plantar flexion) or landing, or abnormal toe deviation (in or out).

    • Excessive pronation: Refers to excessive inward roll of the foot after contacting the ground. With excessive pronation the foot continues to roll in when it should be pushing off. This twists the foot, knee, leg and even the hip.

    • Excessive supination: Refers to inadequate inward roll of the foot after contacting the ground. This also causes strain on the foot, knee, leg and even the hip.

  • Abnormal deviation of the knees. (Gait and single leg tests)

    • Restricted flexion or extension of the knees.

    • Medial or lateral deviation of normal knee motion during a single leg squat.

  • Abnormal Leg alignment (femoral alignment)

    • Restrictions in internal or external leg motion (Femoral rotation).

  • Abnormal hip or pelvic motion

Treatment Strategies

Once the practitioner has determined (hypothesized) which areas are involved, they need to get into the restricted tissue to confirm where the adhesions are and release them. This will require that the practitioner use a considerable amount of tactile sensitivity. It is not just a matter of finding a tight spot and releasing it. The practitioner must literally feel what is going on in one layer of soft tissue over the adjacent layer. 

 

Concurrent Exercise and Lifestyle Recommendations

Exercise and lifestyle recommendations can be implemented before, during, and after treatment. Besides restoring the quality of the tissue by breaking up any restrictions it is important to become stronger and more flexible, and to build more power. This will help insure that the Plantar Fasciitis does not return.

 

Note: Most importantly once the adhesions have been removed it is exercise that will restore normal motion patterns and complete the process of tissue repair. Without the right exercises even if the adhesions are removed the probability of a re occurrence in very high.

Buy the Book!

Have you been suffering due to excruciating pain in the bottom of your foot? Are you missing out on your active-living lifestyle because of the pain? This easy-to-read book helps you to understand the true causes of Plantar Fasciitis, its impact on the other structures of your body (your kinetic chain), and provides simple, non-invasive, and effective tools for eliminating your problem. Unlike most programs which focus on just your feet, you will learn to look at your body as a dynamic web of interconnected links - the Kinetic Web. You may discover that your Plantar Fasciitis case is caused by injuries and restrictions in other, distant parts of your body. You will learn how to find these problem areas, and then truly resolve your Plantar Fasciitis for the long-term by building your own unique, individualized routine of myofascial releases, stretches, and strengthening exercises to address your specific issues. So get back to your active, pain-free lifestyle, and get rid of that pain in the bottom of your feet.

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Suite 1234- 12 Royal Vista Way NW, Destination Pointe Complex, Calgary, AB, T3R-0N2

Tel: 403-241-3772

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