Plantar Fasciitis, what are the exercises for the Plantar fasciitis?

The Plantar fasciitis, when you wake up in the morning, if your first steps cause a violent pain in your ankle, you may have a plantar fasciitis. This situation is a traumatism resulting from the excessive use of the flexor surface of your sole or foot (plantar). The diagnosis of a plantar fasciitis means that there is a very bad inflammation of the fibrous bands tissue which connects your ankle bone to the base of your toes (underside).

If you are a woman and if your weigh is above the normal level or if you have a job which makes you walk a lot or stand on a firm ground, it is more probable for you to have a plantar fasciitis situation. You are also at risk if you have harsh calf muscles which specially limit the twisting of your ankle considerably when you run and walk for the planter fasciitis exercises. People who have flat or ample feet or who have a very high foot arch are much more predisposed to the plantar fasciitis disorder.

This situation starts step by step in the ankle bone with a moderate and frequent pain, and is related with the fact that the foot is bruised with a rock.  It is more probable for you to feel more the plantar fasciitis after the exercise than during the exercise. Classically, the pain comes out again increasingly during the lunch break. If you do not have your planter fasciitis inconvenience treated, it may turn to a chronic situation, you may not keep your activities at the same level and because the planter fasciitis changes your walking way, you may develop the symptoms concerning your foot, knee, hip and back problems.  

The treatments:

the first treatment of the plantar fasciitis inconvenience is rest. Try to put away the weigh which is on your foot until the inflammation disappears. And in order to attenuate your Plantar Fasciitis symptoms, apply ice on the painful area twice a day, three times during twenty minutes. A doctor will suggest you frequently to use an anti-inflammatory drug such as ibuprofen which is not a steroid. The house plantar fasciitis exercises program which stretches your Achilles tendon and plantar fascia is the most important support to treat this situation and reduce the risk of recurrence of the disease.  

During the plantar fasciitis exercises; while putting your heel on the ground when keeping straight one of your knee in front of a wall, bend the other knee and lean it to the wall. Your heel band (Achilles tendon) and foot arch will stretch while leaning. Stay ten seconds in this position and then relax and stay standing straight. Repeat twenty times for each hurting heel.  
And the second plantar fasciitis exercise is to bend toward the opposite front, separating your feet and keeping one of your feet ahead. Lap your knees and get downward keeping your heels on the ground as much as possible. Your heel articulation and foot arch will seem as if your heels will go upward in this stretching. Stay ten minutes like this, relax and straighten. Repeat this movement twenty times.

A significant evolution is observed in 90% of the people having a plantar fasciitis after the first line treatment. You may be advised to use standard orthopaedic devices such as shoes with shock- absorber insol or appropriate rubber heel pad. You foot may be taped in a specific position.  

If the plantar fasciitis still continues for some months despite the conservative treatment, your doctor may inject in your ankle an anti inflammatory drug (corticosteroid) containing steroid. If your symptoms are still present, you may need a plaster that you can walk on for a period of 2-3 weeks or a positional brace when you sleep. In many cases, you may need an operationbased on releasing the ligament. The pain under the ankle is composed of the muscle named plantar fascia whose pains extend from the ankle to the pollex in this area.
  • Plantar Fasciitis: running too much and jumping lead to the inflammation of the muscles bands (fascia) which extends from the toes to the ankle bone. The pain is concentrated under your ankle and in the centre of it, it is moderate at the beginning, but after having rested during the night it suddenly intensifies with your first step.  
  • If the plantar fasciitis continues a long time a plantar fasciitis (a calcium precipitation) will be shaped at the connection of the fascia tissue bands and the ankle. This may be easily seen with radiography. The treatment is generally the same as the plantar fasciitis.  



    The pain which is behind the ankle: if there is a pain behind your ankle, it is question of an inflammation at the area where the Achilles tendon is connected to the ankle bone. (Achilles tendinitis) this situation comes out frequently resulting from running a lot or wearing shoes which scrape the back of the ankle. In the course of time, the pain behind the ankle may cause slowly the thickening, swelling and rubescence of the skin. A warm felt swell (eminentia) which is fragile when touched because of the ankle pain located on the area behind your ankle may develop. The pain appears when you start your first movement after having rested. If there is a swell it may hurt you when you wear normal shoes.  

    During the treatment:

  • Is started by stopping the activities which are the causes of your problem.
  • Your doctor will advise you to use a heel support or a special insol.
  • Special stretching plantar fasciitis exercises will be advised for the plantar fasciitis as well as for the Achilles tendinitis. Physiotherapy and rehabilitation may be needed for problems which became very chronic.
  • Nonsteroid anti-inflammatory drugs will be advised for pain and tumour.

  •   A special treatment which is called biological treatment may be applied to patients who do not benefit sufficiently from these standard treatments. In this treatment, the thrombocyte cells (coagulation cells) which are separated from the blood of the patient will be injected to the painful area. It is accepted that the thrombocyte cells secrete factors which accelerate the convalescence. İt is supposed that these factors enable the convalescence.  

OP.DR. SELİM MUĞRABİ
Selim Muğrabi; Orthopaedist and Traumatology Specialist, he was born in 1970 in İskenderun. He graduated from School of medicine of Istanbul University in1993. In 2002, in Haydarpaşa Numune Hospital....

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Subject of the Month - Plantar Fasciitis
The Plantar fasciitis, when you wake up in the morning, if your first steps cause a violent pain in your ankle, you may have a plantar fasciitis...

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