Plantar Fasciitis: Home Care Instructions
Plantar Fasciitis: Home Care InstructionsYour Care InstructionsPlantar fasciitis is pain and inflammation of the plantar fascia, the tissue at thebottom of your foot that connects the heel bone to the toes. The plantar fascia alsosupports the arch. If you strain the plantar fascia, it can develop small tears andcause heel pain when you stand or walk.Plantar fasciitis can be caused by running or other sports. It also may occur inpeople who are overweight or who have high arches or flat feet. You may get plantarfasciitis if you walk or stand for long periods, or have a tight Achilles tendon or calfmuscles.You can improve your foot pain with rest and other care at home. It might take a fewweeks to a few months for your foot to heal completely.Follow-up care is a key part of your treatment and safety. Be sure to make andgo to all appointments, and call Dr. Caruso if you are having problems. It's also agood idea to know your test results and keep a list of the medicines you take.Dr. Rose A. Caruso38 Thoreau Drive, Freehold, NJ 07728Phone (732) 366-9866 - Fax (732) 866-0006www.carusofootandankle.com
How can you care for yourself at home? Rest your feet often. Reduce your activity to a level that lets you avoid pain. Ifpossible, do not run or walk on hard surfaces. Take pain medicines exactly as directed.o If Dr. Caruso gave you a prescription medicine for pain, take it asprescribed.o If you are not taking a prescription pain medicine, take an over-thecounter anti-inflammatory medicine for pain and swelling, such asibuprofen (Advil, Motrin) or naproxen (Aleve). Read and follow allinstructions on the label. Use ice massage to help with pain and swelling. You can use an ice cube oran ice cup several times a day. To make an ice cup, fill a paper cup withwater and freeze it. Cut off the top of the cup until a half-inch of ice shows.Hold onto the remaining paper to use the cup. Rub the ice in small circlesover the area for 5 to 7 minutes. Contrast baths, which alternate hot and cold water, can also help reduceswelling. But because heat alone may make pain and swelling worse, end acontrast bath with a soak in cold water. Wear a night splint if Dr. Caruso suggests it. A night splint holds your foot withthe toes pointed up and the foot and ankle at a 90-degree angle. This positiongives the bottom of your foot a constant, gentle stretch. Do simple exercises such as calf stretches and towel stretches 2 to 3 timeseach day, especially when you first get up in the morning. These can help theplantar fascia become more flexible. They also make the muscles that supportyour arch stronger. See these stretches in the Exercises section below. Wear shoes with good arch support. Athletic shoes or shoes with a wellcushioned sole are good choices. Try shoe inserts (orthotics) to help cushion your heel. You can buy these atmany shoe stores and through Caruso Foot & Ankle. Put on your shoes as soon as you get out of bed. Going barefoot or wearingslippers may make your pain worse. Reach and stay at a good weight for your height. This puts less strain on yourfeet.Dr. Rose A. Caruso38 Thoreau Drive, Freehold, NJ 07728Phone (732) 366-9866 - Fax (732) 866-0006www.carusofootandankle.com
When should you call for help? Call your doctor now or seek immediate medical care if:o You have heel pain with fever, redness, or warmth in your heel.o You cannot put weight on the sore foot. Watch closely for changes in your health, and be sure to contact your doctor if:o You have numbness or tingling in your heel.o Your heel pain lasts more than 2 weeks.Dr. Rose A. Caruso38 Thoreau Drive, Freehold, NJ 07728Phone (732) 366-9866 - Fax (732) 866-0006www.carusofootandankle.com
Plantar Fasciitis: ExercisesYour Care InstructionsHere are some examples of typical rehabilitation exercises for your condition. Starteach exercise slowly. Ease off the exercise if you start to have pain.Dr. Caruso or your physical therapist will tell you when you can start these exercisesand which ones will work best for you.How to do the exercisesNote: Each exercise should create a pulling feeling but should not cause pain.Towel Stretch1. Sit with your legs extended and knees straight.2. Place a towel around your foot just under the toes.3. Hold each end of the towel in each hand, with your hands above your knees.4. Pull back with the towel so that your foot stretches toward you.5. Hold the position for at least 15 to 30 seconds.6. Repeat 2 to 4 times a session, up to 5 sessions a day.Dr. Rose A. Caruso38 Thoreau Drive, Freehold, NJ 07728Phone (732) 366-9866 - Fax (732) 866-0006www.carusofootandankle.com
Calf StretchNote: This exercise stretches the muscles at the back of the lower leg (the calf) andthe Achilles tendon. Do this exercise 3 or 4 times a day, 5 days a week.1. Stand facing a wall with your hands on the wall at about eye level. Put the leg youwant to stretch about a step behind your other leg.2. Keeping your back heel on the floor, bend your front knee until you feel a stretchin the back leg.3. Hold the stretch for 15 to 30 seconds. Repeat 2 to 4 times.Dr. Rose A. Caruso38 Thoreau Drive, Freehold, NJ 07728Phone (732) 366-9866 - Fax (732) 866-0006www.carusofootandankle.com
Plantar Fascia and Calf StretchNote: Stretching the plantar fascia and calf muscles can increase flexibility anddecrease heel pain. You can do this exercise several times each day and before andafter activity.1. Stand on a step as shown above. Be sure to hold on to the banister.2. Slowly let your heels down over the edge of the step as you relax your calfmuscles. You should feel a gentle stretch across the bottom of your foot and up theback of your leg to your knee.3. Hold the stretch about 15 to 30 seconds, and then tighten your calf muscle a littleto bring your heel back up to the level of the step. Repeat 2 to 4 times.Towel curls1. While sitting, place your foot on a towel on the floor and scrunch the towel towardyou with your toes.2. Then, also using your toes, push the towel away from you.Note: Make this exercise more challenging by placing a weighted object, such as asoup can, on the other end of the towel.Dr. Rose A. Caruso38 Thoreau Drive, Freehold, NJ 07728Phone (732) 366-9866 - Fax (732) 866-0006www.carusofootandankle.com
Marble pickups1. Put marbles on the floor next to a cup.2. Using your toes, try to lift the marbles up from the floor and put them in the cup.Follow-up care is a key part of your treatment and safety. Be sure to make andgo to all appointments, and call your doctor if you are having problems. It's also agood idea to know your test results and keep a list of the medicines you take.Care instructions adapted under license by Caruso Foot And Ankle, LLC. This care instruction is for use with your licensed healthcareprofessional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise,Incorporated disclaims any warranty or liability for your use of this information.Dr. Rose A. Caruso38 Thoreau Drive, Freehold, NJ 07728Phone (732) 366-9866 - Fax (732) 866-0006www.carusofootandankle.com
Plantar Fasciitis: Home Care Instructions Your Care Instructions Plantar fasciitis is pain and inflammation of the plantar fascia, the tissue at the bottom of your foot that connects the heel bone to the toes. The plantar fascia also supports the arch. If you strain the plantar fascia, it can develop small tears and
THE HEEL PAIN PATIENT WHO DOES NOT HAVE PLANTAR FASCIITIS If every patient who came in with "heel pain" had plantar fasciitis, things would be much simpler. We have all had the self diagnosed plantar fasciitis patient, or the "my sister, my aunt, my friend or co-worker" had plantar fasciitis and told me I have it. Or the patient who looked up their symptoms online, so it .
diagnose and treat plantar fasciitis. The syndrome of plantar fasciitis has been referred to as heel spur syn-drome, medial arch sprain, calcaneal periostitis and calcaneodynia. Plantar fasciitis is a clinical syndrome with Continued on page 166 Continuing Medical Education Figure 1E: Asymptomatic lateral band of plantar fascia
Chronic plantar fasciitis is the most common cause of foot complaint in the United States. Up to 11% to 15% of these complaints require professional care among adults.6,21 The incidence of plantar fasciitis peaks in persons between the ages of 40 and 60 years, with no bias toward either sex.30 The underlying condition that causes plantar fasciop-
Plantar fasciitis (PF): PT refers to inflammation of the connective tissue on the sole of the foot (the plantar fascia), which may occur as a result of overuse of the plantar fascia. Plantar fasciitis is a common cause of heel pain, and affects approximately 10% of the United States population over the course of a lifetime.
Chronic plantar fasciitis is the most common cause of foot complaints in the United States, making up 11 to 15% of the foot symptoms requiring professional care among adults [1,2]. The incidence of plantar fasciitis peaks in people between the ages of 40 to 60 years with no bias towards either sex [3].
therapy (ESWT) combined with usual care (exercise and orthotic support) was comparable to usual care in improving foot function and walking velocity in patient with plantar fasciitis. Patients with plantar fasciitis pain persisting for at least one month with a minimum score of 5 on the 10-point visual analog scale (VAS); pain felt in
Clinical Practice Guidelines ROBROY L. MARTIN, PT, PhD TODD E. DAVENPORT, DPT STEPHEN F. REISCHL, DPT THOMAS G. MCPOIL, PT, PhD JAMES W. MATHESON, DPT DANE K. WUKICH, MD CHRISTINE M. MCDONOUGH, PT, PhD Heel Pain—Plantar Fasciitis: Revision 2014 Clinical Practice Guidelines Linked to the
erosion rate of unmasked channels machined in borosilicate glass using abrasive jet micro-machining (AJM). Single impact experiments were conducted to quantify the damage due to the individual alumina particles. Based on these observations, analytical model from the an literature was modified and used to predict the roughness and erosion rate. A numerical model was developed to simulate the .
