If you suffer pain on the front part or the inside of your heel bone, worse in the morning or getting up after a rest, and if that area is tender when you push on it, the chances are you suffer from plantar fasciitis.

What causes plantar fasciitis?

The plantar fascia is a strong band of collagen fibers that goes from the heel bone, the calcaneus to the base of the toes. Like the string of a bow, it holds up the two longitudinal arches of the foot, the medial arch between the heel and the big toe, and the lateral arch between the heel and the fifth toe. If your foot is overpronated, if you have flat feet, the plantar fascia will be overstretched and there will be excessive pull on its attachment on the heel bone. This will be made worse if you strain this fascia with prolonged walking, jumping or running, or if you are older, are overweight, have naturally high arches, or tight heel cords. When this ligament is overstrained, it may fray and lose its elasticity. The excessive pull on the heel bone causes the heel bone to grow in an attempt to strengthen the ligament’s attachment.

Plantar fasciitis treatment

The first thing to do is to stop overstraining the plantar fascia. Give it a rest, stop doing what caused the problem in the first place. Stretching and strengthening exercises may help, but one of the most effective ways of taking the pressure off the plantar fascia is to support the foot’s arches with orthotics. Dr. Bertrand can supply you with guaranteed orthotics. Because the plantar fascia normally has a very poor circulation, it does not normally repair itself well. Steroid injections have been used but may result in breakdown of the attachment of the plantar fascia. Steroid references in chronic cases, surgery is used to sever the plantar fascia attachment to the calcaneus.

Can prolotherapy help treat plantar fasciitis? Prolotherapy, a series of injections of growth promoting substances, has been shown to strengthen the attachment of ligaments and tendons to bone.
It has proven effective in repairing the plantar fascia and relieving plantar fasciitis pain. In a study by Taunton, 14 of 20 (70%) patients followed for one year after prolotherapy where pain-free.

Jack Taunton Ultrasound guided dextrose injections as a new treatment for chronic overuse tendon injuries. Focus on tomorrow, research funded by work safe BC November 2007.

Treatment of plantar fasciitis with Perineural injection therapy (Nerve blocks ), The nerves that supply your plantar fascia are essential to keeping it in good working order. If they are injured as a result of faulty gait or footwear or excessive exercise, they will contribute to the deterioration of the plantar fascia. This damage will respond readily to treatments of nerve blocks .

Prolotherapy References