Tag Archives: plantar fasciitis

Plantar Fasciitis

Summary

  • An overuse injury that affects the sole of the foot. Symptoms include severe pain in the heel after the first few steps out of bed in the morning, or when standing up after sitting for long periods of time. Pain subsides while walking, but returns after spending long periods of time on your feet.

How did I get this?

  • Low arched foot, abnormal strain caused by long hours on the feet, unsupportive shoes, and obesity are factors in developing this condition. Other causes include an underlying inflammatory condition, bone disease, infection, stress fracture, and nerve entrapment.

What can I do about it?

  • Rest.
  • Ice application and massage with a golf ball.
  • Calf Stretches.
  • Wear supportive footwear.
  • Avoid going barefoot.
  • Short term use of pain killers can relieve the pain.

What help can I get for this?

  • Podiatrist may prescribe padding and strapping to soften the impact of walking, support the foot and reduce strain on the fascia. This may be followed by orthotic devices to correct underlying structural abnormalities. Dry needling, foot mobilisation and extracorporeal shockwave therapy have been found to be effective.
  • Podiatrist may prescribe a night splint to maintain an extended stretch of the plantar fascia while sleeping, reducing the morning pain experienced by some patients.
  • If after several months of non-surgical treatment you continue to have heel pain, surgery may be considered.

When will it get better?

  • No matter what kind of treatment you undergo for plantar fasciitis, the underlying causes that led to this condition may remain. Therefore, you will need to continue with preventive measures. Wearing supportive shoes, stretching, and using custom orthotic devices are the mainstay of long-term treatment for plantar fasciitis.

OsTrigonum Syndrome

Summary

  • Ostrigonum syndrome refers to pain in the back of the ankle. The Ostrigonum is an extra (accessory) bone that sometimes develops behind the ankle. The presence of an Ostrigonum in one or both feet is congenital (present at birth). It becomes evident during adolescence. Pain in the back of the ankle is the first indicator of Ostrigonum syndrome. The area in front of the Achilles tendon is sore to touch and the bony prominence may even be palpable. The diagnosis can usually be confirmed by x-ray views of the ankle from the side.

How did I get this?

  • Ostrigonum syndrome is usually triggered by an injury, such as an ankle sprain. The syndrome is also frequently caused by repeated downward pointing of the toes, which is common among ballet dancers, soccer players and other athletes.

What can I do about it?

  • Rest to stay off the injured foot to let the inflammation subside.
  • Applying a bag of ice covered with a thin towel to the affected area decreases inflammation process.
  • Short term nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be helpful in reducing the pain and inflammation.
  • Seek podiatry consultation.

What help can I get for this?

  • Podiatrist may consider immobilization using a walking boot or splint to restrict ankle motion to allow healing.
  • Your doctor may prescribe cortisone injection into the area to reduce the inflammation and pain.
  • Foot and ankle surgeon for possible removal of Ostrigonum.

When will it get better?

  • Most patients’ symptoms improve quickly with non-surgical treatment. However, in some patients, surgery may be required to relieve the symptoms. There is usually persistent swelling and discomfort after the surgery so limiting activities is required until these symptoms settle.

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