Here’s one research article behind the treatment for patients with heel pain due to chronic plantar fasciitis.
*Gollwitzer, H. et al. Clinically relevant effectiveness of focused Extracorporeal shock wave therapy in the treatment of chronic plantar fasciitis: a randomized, controlled multicenter study. J Bone Joint Surg Am. 2015 May 6;97(9):701-8. doi: 10.2106/JBJS.M.01331.
The objective of the present study was to test whether focused Extracorporeal shock wave therapy is effective in relieving chronic heel pain diagnosed as plantar fasciitis. Two hundred and forty-six patients (98.4%) were available for intention-to-treat analysis at the twelve-week follow-up. There was a significant difference (p = 0.0027, one-sided) in the reduction of heel pain in the Extracorporeal shock wave therapy group (69.2%) compared with the placebo therapy group (34.5%). Extracorporeal shock wave therapy was also significantly superior to the placebo therapy for the Roles and Maudsley score (p = 0.0006, one-sided).
Most people can self-diagnose plantar
fasciitis, it starts with pain in the heel and foot especially if you
participate in high-impact activities like jogging, dancing, or basketball.
Other risk factors include having low or high arches, and/or tight calf muscles.
Every patient I see with plantar fasciitis has tight calf muscles.
It can often be treated with rest, anti-inflammatory medicine, and icing. I see a lot of stubborn cases. If you have had a steroid injection and it didn’t work keep reading. You may be ready for pulsed shockwave therapy. Here is my top 3 treatments for plantar fasciitis:
1. Dropped arches
Plantar fasciitis is common in athletes, particularly in runners or people who recently increased there load i.e. weight lifting increases, increased walking distance, increased running distance, or just increased body weight from pregnancy. The message is check your shoes for good support, consider an insert, and possibly replace your footwear.
Remember I said every plantar fasciitis patient I’ve seen has short tight calf and leg muscles and tendons. This tightness changes the alignment of the foot and ankle, creating a negative chain reaction that can travel as far up as the lower back and even the neck. Come in so I can teach you how to properly stretch the calfs and strengthen your arches on the bottom of your feet.
2. Shockwave For
Shockwave is a pulse therapy device I use to send strong ultrasound like impulses into the fibrous tissue on the underside of the foot. It has a deep penetration sensation and shockwave therapy is fast becoming the non-invasive, non-drug technique of choice for heel pain caused by plantar fasciitis.
Nothing, not even deep tissue massage is as helpful at loosening the tendons, ligaments, and fascia as the shockwave machines. I have 3 different machines because every patient is different.
People with chronic plantar fasciitis need shockwave therapy to help break up the scar tissue caused by the acute inflammation. Shockwave therapy loosens up the fibrous tissue band, allowing it to return to its natural shape.
I’ll also teach you how to roll a lacrosse ball, tennis ball, or golf ball on the sole of your foot to help roll out the plantar fascia. You will probably learn the latest in correct posture training from my ELDOA therapist as well. I recommend the shockwave for plantar fasciitis at least once a week for 3 sessions and then we re-evaluate. Many patient’s feel relief for plantar fasciitis after the first session.
Other Helpful Treatment For The Foot
I have simple stretches, simple strength movements, and a simple flexibility maneuver that’s crucial to gaining back your foot health and relieve pain.
I could post pictures on the internet but my
stretches and exercises go along with the shockwave therapy. That’s the recipe!
I may also recommend the VibraGenix plate, Phyto Zol serum, and sports taping on the foot or calf. Each case does need a proper evaluation and personalized treatment plan. Please feel free to call my office at 310-444-9393
The bottom of your foot hurts. Maybe one side, or worse both feet hurt! The cause of the pain is probably something related to a change in your walking or running habits. People say to me “I haven’t changed anything so how does it happen?” There has to be something that you are doing wrong that you don’t even know you are doing wrong. It’s often in your gait or posture causing an excessive strain that is creating repetitive irritation of the arch of the foot.
Plantar fasciitis starts with some inflammation of the fascia on the bottom of the foot and eventual thickening of the plantar fascia. I don’t have to tell you that it can be a severe irritation. In order for me to evaluate and correct plantar fasciitis I examine the whole Superficial Back Line of fascia, which starts at the bottom of the foot and goes all the way up to your head. We might find this fascial band tight anywhere along its entire length. Fascia is the primary force transmission system in your body. If it cannot transmit force efficiently, there is too much strain in certain places: the bottom of the foot is often one of the spots that takes the burden of the excess stress (resulting in too much strain).
The examination includes checking for tightness in the muscles around the calf, especially the soleus and toe flexors. I also check stability and force generation in your glutes, psoas, quads, and abdominals. If they are inhibited or weak the lower leg and foot have to do more work. More work leads to pain and discomfort. A common movement pattern dysfunction of plantar fasciitis is lack of strength and timing of the Gluteus Maximus. Weak glutes contribute to foot dysfunction.
Key non-invasive treatments:
EnPuls (radial pulse therapy or shock wave therapy) and Piezowave Therapy (Acoustic pulse therapy)
These therapies significantly reduce pain and inflammation while stimulating the formation of new collagen matrix in damaged foot tissues. Properly applied shock wave therapy with optimal dosage is one of the best modalities available for effective treatment of Plantar Fasciitis. Often you will feel significant changes and improvements within several sessions.
Taping is an effective tool for alleviating symptoms and helping to form new movement habits. Sensory input from the tape on skin ignites the brain maps in discovering new options for movement. Tape adds stability. More stability leads to increased movement variability. Being stability is a good thing.
I am the only Chiropractor in Los Angeles with these combinations of modalities to target treatment to the site of pain and I teach patients the use of corrective exercises. This approach leads to more positive outcomes. The body will tell you very quickly what it likes and what it doesn’t like. If you feel better and it lasts you are on the right track. If you don’t, that’s a sign you need to change approaches. I can combine radial pulse waves, acoustic pulse waves, laser therapy, taping, and strength work to help you heal better and faster.
Here’s the link to a recent article I wrote on Plantar fasciitis in Dynamic Chiropractic magazine