Does your heel hurt when you get out of bed? Plantar fasciitis

A change in training routine or in running shoes can cause Plantar fasciitis inflammation. Although the treatment is long and tedious, 80% is cured after six or eight months. Plantar fasciitis is a problem that manifests itself with pain in the heel. It is very common among athletes and is one of the most frequent reasons for consulting pain in the foot.

In runners, it can be produced by minor changes in the training routine or footwear. These changes cause the plantar fascia to become inflamed and, as it is a structure continuously subjected to impact, that inflammation cannot be completely evacuated. Continue reading: Useful natural remedies for a sore throat

What is plantar fasciitis?

plantar fasciitis inflammation

It is common for runners suffering from plantar fasciitis to feel pain when supporting the foot when getting out of bed and little by little the pain decreases when getting warm. The discomfort returns at the end of the day due to the accumulation of inflammation after successive impacts when walking or running.

Running, the great obsession

The treatments have the objective of evacuating as much inflammation as possible. It is usually a long and tedious treatment. Because the mechanisms of the evacuation of inflammation of the heel of the foot are scarce; therefore, it is not uncommon for plantar fasciitis to last for months, even with treatment.

Fortunately, more than 80% of plantar fasciitis heal in a period of between six and eight months from the onset of symptoms and leaves no sequelae. In the treatment, we try to reduce the healing period and we try that the runner suffers the least possible pain.

Facts and cases

plantar fasciitis inflammation

It is common for runners to ask us if it is dangerous to continue training. In principle, it is not, as long as it is done sensibly. If the runner suffers terrible pain after training and the next day is lame, it is advisable to stop and temporarily modify the type of training. In these cases, we recommend replacing the race for the bicycle, elliptical exercises or swimming. When the plantar fascia is less inflamed, you can return to the usual training.

The runners who train normally and who, the next day, do not suffer too much pain, we do not forbid them to continue training, but always with caution and controlling that their pain does not increase.

Formerly, it was believed that plantar fasciitis was related to the runner being pronator or supinator, but today we know that it is not like that.

Plantar fasciitis usually appears at the beginning of the season

plantar fasciitis inflammation

In the corridors, we have observed an important peak of diagnosis in autumn because in the summer habits change: they perform a break, they do less sport and when they start more demanding routines in September and October they develop that fascitis due to the change of habits.

We do not know why a fascitis is generated in the patient, except on very few occasions in which the runner has suffered a direct blow. In most cases, the runner does not remember how it started and relates it to changing habits, routine or coach. Plantar fasciitis benefit from shoes that are very padded in the back (like 99% of those that are marketed). The heel must be as retained as possible to avoid banding (99% of the shoes have a heel reinforcement strong enough). Formerly, it was believed that plantar fasciitis was related to the runner being pronator or supinator, but today we know that this is not the case.

Biomedical study

The biomechanical study of this lesion has led to the conclusion that plantar fasciitis has to do with the system that unites twins, Achilles tendon and plantar fascia that allows us to propel ourselves and resist impacts against the ground when running.

It’s a mechanical chain on the back of the leg. Runners who have this more elastic system suffer from mild plantar fasciitis and recover much earlier. Those with the less elastic system develop fascitis that is slower and harder to heal.

Surgical treatment

plantar fasciitis inflammation

In the past, the fascia was worked on the sole of the foot with exercises to evacuate inflammation mechanically. Today we have seen that treatments that modify the entire Plantar fasciitis system are much more effective in order to evacuate more inflammation. We recommend active exercises – which many runners know – to warm the Achilles and the twin which are called eccentric exercises. In fact, more than 80% improves with these practices and surgical treatment is not necessary.

Only in very rare cases, in which runners do not improve in more than eight or nine months of treatment, surgery is resorted to

The eccentric exercise must be carried out in a very specific way. If it is not done correctly, it is not effective. You have to place your foot on a step in a very specific way, go down at a certain speed so that the evacuation of the inflammation is greater. There are published studies that compare a well done eccentric exercise with a bad one and the recovery period in ‘runners’ that do these exercises correctly is much shorter. The advantage traumatologists have with the runners is that they tend to be much disciplined and take good care of their training and their cooling.

Final objective,

plantar fasciitis inflammation

Only in very limited cases, which do not improve in more than eight or nine months of treatment, surgery is resorted to. The intervention in these cases has also changed: the fascia in the sole of the foot has stopped operating in order to perform a twin lengthening that allows loosening the entire Plantar fasciitis. The objective is that the whole system is more elastic and that the evacuation of inflammation is better. This surgery has been tested on elite athletes who have returned to compete at a high level and allows them not to lose muscle power. You might also read:

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