Plantar fasciitis is an inflammation of a thick, fibrous ligament in the arch of the foot called the plantar fascia. The plantar fascia attaches into the heel bone and fans out toward the ball of the foot, attaching into the base of the toes. If this ligament is stretched excessively it will become inflamed and begin to cause pain. In severe instances the ligament can rupture resulting in immediate severe pain. If the ligament ruptures the pain is so great that the patient can not place weight on the foot. Should this happen, the foot should be elevated and an ice pack applied. An appointment with your foot doctor should be made at your earliest convenience. Sports such as tennis, racket ball, and aerobics can cause extreme tension on the plantar fascia resulting in small tears or rupture of the ligament. However, other less stressful activities can result in tears or rupture of the plantar fascia under the right set of circumstances. One consequence of small tears in the plantar fascia is the formation of firm nodules within the plantar fascia, called fibromas.
Taking a through history of the course of the condition and physical exam makes the diagnosis of plantar fasciitis.
Treatment of plantar fasciitis is similar to that for heel pain. The main emphasis of treatment is to reduce the forces that are causing the plantar fascia to stretch excessively. This includes calf muscle stretching, over the counter arch supports, and orthotics. Cortisone and oral anti-inflammatory medications may be useful in controlling inflamation.
EPAT (Extracorporeal Pulse Acitvation Treatment)
An alternative to surgery includes Shockwave Therapy. Shockwave Therapy is commonly used by Dr. Fein and Dr. Otfinoski with high success rates. But until now, this method has been costly and requires anesthesia.
A new technology introduced to the Danbury area by Dr. Fein and Dr. Otfinoski is EPAT, a painless method that uses the same technology.
Swiss made EPAT is used extensively in Europe and Canada. The mode of action during Pulse Therapy is to stimulate chemical processes providing improved blood circluation in the pain regions to promote natural healing.