Originally posted by MsPurp
What is plantar faciatis?
My feet hurt all day, but they hurt the WORST in the morning. I look like a 100 year old woman hobbling down the hall.
See, I knew y'all could help. :roll
In the wonderful world of health maintenance organizations, I'll have to see the PMD for a referral to a podiatrist. I'm a little squeamish about having someone look that closely at my feet, but I'll do anything to stop the pain.
Plantar Fasciitis is one of the most common foot problems seen by medical professionals. The plantar fascia is a band of thick connective tissue in the arch, running from the heel to the ball of the foot. The plantar fascia is responsible for maintaining the arch of the foot.When the plantar fascia becomes stressed due to overexertion, structural deformity / weakness, or trauma, small tears may occur, which cause pain and inflammation. The pain is usually worst first thing in the morning and is most common in the heel area, where the plantar fascia is tearing away from the heel bone. There may also be a dull aching pain in the arch.
A Heel Spur may also develop on the heel bone where the plantar fascia is attached, but the spur may not be the cause of the pain; it is usually the plantar fascia itself, which is the problem.
Treatment may include physiotherapy, rest, icing, taping, anti-inflammatory, cortisone injections and acupuncture. However, if poor foot position and function are the root cause of the problem, then the symptoms will continue to re-occur if appropriate foot position is not maintained.
Long-term Treatment may call for custom-made foot orthoses designed to maintain proper foot function and position. Appropriate footwear that is designed to accommodate an orthoses is also required. The shoe must provide support and stability for both the orthoses and the foot. It is also recommended that a Birkenstock type sandal be worn around the house in lieu of bare feet or slippers. The sandals will continue to provide proper foot position, lead to faster healing and reduce the chances of re-occurrence. Once the foot position is improved, the plantar fascia is under less stress and therefore less painful. This type of injury can be very slow to heal, so don't expect improvement over night. Severe conditions may take many months to heal.
For Chronic conditions (less than 1% of all cases), where the pain is still intense after 9 - 12 months, a Dorsi-Flexion Night Splint is often used to stretch the plantar fascia. Ask your doctor for more details.
Personally-I worked through the pain for over a year before going to my family doc. It was so bad that just sitting down for 10 mins during the day brought back that early morning pain.....After 2 cortisone injections (through the bottom of my foot) that were effective for short periods of time I got my referral to a podiatry group(HMO here,too .Insurance did not pay for my $375.00 custom orthotics however this was the best money I have ever spent....I thought I was cured after a year and went back to my regular foot wear-had a flair up and began to wear them again-after a continuous 18 months-it was a miracle!I can no longer wear sneaks at work-I wear a nursemate clog-it has a great arch and a thick clunky sole.I no longer use my othotics but have them in an old pair of after work sneaks in case I need them again.I try to buy good shoes with a wide box and good arch....(used to love to buy many pairs of cheapies) One other point-you must begin to wear your custom orthotics for brief periods and work up to longer stretches...Follow the recommended schedule your doctor gives you-you need to get used to them....