plantar fasciitis (fasciopathy) “my painful foot!”
TRANSCRIPT
PLANTAR FASCIITIS (FASCIOPATHY)
“My Painful Foot!”
PLANTAR FASCIOPATHY
#1 Cause of heel pain!
AfflictsAthletesSedentary
Slow to healOften recurrent
RUNNERS/IMPACT ATHLETES
Overuse injuryProgressiveOften necessitates modified and/or cessation of training
Frequently recurrent
SYMPTOMS
Weight bearing heel painBurningSharp, dull, achyMorning pain with first
few stepsPain after prolonged
sitting
RISK FACTORS
Female genderExcessive body weight
Working on hard surfaces
Ankle stiffness
NONOPERATIVE TREATMENTS
RestSoft heel inserts
OrthoticsStretchingPT modalitiesNight splints
SHOCK WAVE THERAPY
Safe EffectiveNoninvasiveIn-office procedurePopular in Europe/South
AmericaUsually not covered by
insurance in USA
BEST STRETCHES
Non Weight-Bearing PF Stretches
COMMON SURGICAL OPTIONS
Limited fascia releaseCorrects PF tightnessTendon lengtheningMay improve ankle flexibilityCombination of above
PREVENTION STRATEGIES
Good shoewareOptimal body
weightMaintain flexibilityAvoid excessive
“pounding” on hard surfaces