Plantar Fasciitis, Heel Spurs and Chiropractic care

Plantar fasciitis is one of the most challenging conditions of the foot in the Chiropractic practice. Plantar fasciitis is common in runners, effecting an estimated 10%. A calcaneal spur is found in about half of persons suffering from plantar fasciitis. The condition may effect both flat arches and high arches.
Plantar fasciitis is caused by overstretch of the ligament between the heel and ball of the foot. The over tension causes injury and inflammation to the ligaments attachment to the heel. The heel spur may result from the long term inflammation. The heel spur is not the cause of the problem and is not on the weight bearing part of the heel. Heel spurs may be totally asymptomatic and cause no pain whatsoever.
Chiropractic management of plantar fasciitis is a multipart process. Chiropractic adjustments to the foot are helpful to remove any joint restrictions. Orthotics are in my opinion the most essential part of management of plantar fasciitis. Orthotics work by supporting the arch and removing the tension from the plantar ligament which is the cause of the condition. The orthotic should support the middle arch of the foot to be really effective. Taping of the foot can be a good one use approach to managing plantar fasciitis but is fairly impractical for daily use. Icing of the heel is an effective way to reduce inflammation as well. Supports such as the Strassborg Sock or orthopedic boot aim to stretch the plantar ligament during rest. They may be effective for some people but may be hard to sleep in or reduce circulation.
Stretching of the foot and calves should not be done when the plantar ligaments are painful and inflammed. Stretching a painful and inflammed ligament can further aggrevate the problem. A better approach is non weight bearing active movements of the foot to increase the stretch of the ligament in non weight bearing. Over stretch of the ligament in weight bearing is the cause of the condition which is why orthotics can be so effective (they control the stretch of the ligament in weight bearing).
Dr. Etter is a graduate of Palmer College of Chiropractic. He has over ten years of Chiropractic practice experience in Olathe, Kansas and Lenexa, Kansas. Dr. Etter’s Chiropractic practice focus is running injuries, back pain, neck pain and whiplash.

About drtom

I help people through chiropractic care and acupuncture.
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