A lot of people are faced with this disease as plantar fasciitis. This disease has a number of symptoms, the main one being - a sharp pain in the heel area. Upon detection of the first signs of the disease should immediately go to the hospital for examination and further treatment. There are various methods of prevention fasciitis, which will help to avoid its occurrence.
The content of the article:
- 1 Definition and types of diseases
- 2 Manifestations of the initial stage of the disease
- 3 Signs of acute fasciitis
- 4 Symptoms of chronic fasciitis
- 5 Diagnosis of plantar fasciitis
- 6 drug therapy
- 7 Ointments and gels
- 8 Physiotherapy
- 9 Massage
- 10 Gymnastics
- 11 compresses
- 12 Foot baths
- 13 applications
- 14 contrast baths
- 15 Insoles for shoes
- 16 Comfortable shoes
- 17 walking barefoot
- 18 Videos about plantar fasciitis
Definition and types of diseases
Plantar fasciitis - a dangerous disease that affects the feet. This disease is characterized by lesions of fibrous tissue on the bottom surface of the foot and requires immediate treatment.
The types of diseases:
-
Plantar (plantar) fasciitis: characterized by inflammation of the soft tissues in the area of the plantar fascia. At risk consist military and athletes, as well as those who spend most of their time on their feet and wearing uncomfortable shoes.
- Necrotizing fasciitis: rare type of disease that arises as a result of infection by streptococcal bacteria and clostridia. The microorganisms penetrate the fascia through cuts and abrasions. It affects not only the foot, but also brush and fibrous tissue in the vulva.
Depending on the location of pain fasciitis is divided into:
- distal: at the back of the heel;
- proximal: in front of the heel;
- front: the pain can reach the fingertips;
- node: fascia in the nodules formed;
- Duplex: affects the plantar fascia on both feet;
At the onset of symptoms should immediately consult a doctor for further diagnosis and treatment.
Manifestations of the initial stage of the disease
Plantar fasciitis (symptoms and treatment of disease depend on the stage) in the initial stage is characterized by the following symptoms:
- Pain in the heel, which is particularly strong in the morning and with the increase of physical activity.
- Foot deformity as a result of reducing the mobility of joints.
- Seizures in the rear foot and leg muscles groups that occur when the load on the foot rest after.
- Redness and swelling of the skin in the affected area.
The causes of these symptoms are:
- flat feet;
- excess weight and improper load on the legs;
- uncomfortable shoes and high-heeled shoes;
- gout;
- a foot injury;
- congenital structural features;
- inflammation in the joints of the foot;
The main cause of congestion are causing damage to the plantar fascia, so it is important to monitor the amount of time spent on your feet.
Signs of acute fasciitis
The acute form of the disease is characterized by:
- raising the temperature at the site of injury;
- extensive swelling in the area of the sole;
- cyanosis of the skin;
- continuous burning pain in the region of the medial edge of the foot (especially manifested during walking);
- impaired mobility of the joints of the foot;
- total body weakness;
Plantar fasciitis is the form most often occurs because of an acute rupture of the plantar fascia, has these symptoms, and susceptible to various treatments.
Symptoms of chronic fasciitis
Plantar fasciitis may eventually move from the acute to the chronic form.
It includes:
- the appearance of foci of chronic inflammation in the damaged area;
- deposition of calcium salts and decrease the mobility of the plantar fascia;
- decrease in strength and elasticity of the fibrous tissue.
The chronic form is not fully amenable to therapeutic methods and national treatment, the doctor is able to eliminate the complications of the disease only.
Any form fasciitis have a negative impact on the biomechanics of the human foot: the patient tries not to step on the injured foot and therefore unevenly distributes body load. Because of this, there may be hypertrophy and atrophy of different groups of leg muscles.
Diagnosis of plantar fasciitis
Plantar fasciitis (symptoms and treatment are determined by a specialist) can be confused with other diseases. Diagnosis of the disease held by a physician by visual inspection, palpation of the affected area, and other techniques.
The doctor uses the following methods:
- Patient survey: necessary for an overview of the complaints and the possible location of pain. In a survey of specified patient profession, conditions and place of residence, presence of concomitant diseases.
- Palpation: the doctor presses the heel area at the time of flexion of the foot. In the presence of the disease the patient immediately feels a burning pain.
- X-rays of the foot: It shows the existence of possible irregularities in the area of the foot.
- MRI: administered for suspected rupture of the plantar fascia.
- Blood analysis: doctor assigns it to determine the presence of bacteria in the body, which could entail necrotizing fasciitis.
On the basis of the doctor determines the type of disease and appoints the necessary treatment.
drug therapy
Plantar fasciitis (symptoms and treatment of this disease may be different) requires an individual approach to patients. There are medications that decrease inflammation, swelling and pain in the fascia.
These include such non-steroidal anti-inflammatory drugs, such as:
1. ibuprofen: drug that inhibits platelet aggregation thereby reducing the development of inflammation.
- Administered as suspensions for oral use and suppazitoriev for rectal administration.
- Take 200-800 g (depends on the form of the disease) 3 times a day.
- Contraindicated in gastric ulcer, hypersensitivity to the drug, heart disease and pregnancy.
2. indomethacin: a potent analgesic, relieves pain and prevents further synthesis of eicosanoids.
- It is administered as a gel for topical application in individual dosage for each patient.
- Contraindicated in individual intolerance, pregnancy, for persons under the age of 14 years, gastric ulcer and acute heart failure.
3. diclofenac: anti-inflammatory drug has antipyretic effect on the body.
- Administered as a solution in ampoules.
- Take: 1 ampoule intramuscularly daily for 5 days.
- Contraindicated in gastric ulcer, inflammation of the intestines, pregnancy, for persons under 12 years of age.
These drugs are effective analgesics and are able to stop the development of pain.
Ointments and gels
There are many drugs in the form of ointments and gels. These include:
1. hydrocortisone: ointment analgesic effect.
- Accept: topically 2 times a day during 3 weeks.
- The dosage depends on the individual patient.
- The drug is contraindicated if you are hypersensitive.
2. Nise - 1% gelWhich has a general anti-inflammatory effect in the affected area.
- Accept: topically to 4 times a day, squeezing of 3 cm gel.
- Contraindicated if you are hypersensitive drug in inflammatory processes in the gastrointestinal tract and liver failure.
3. Voltaren Emulgel: anti-inflammatory and antipyretic action.
- Accept need outwardly 3 g 4 times a day.
- Contraindicated in bronchial asthma, children under 14 years are hypersensitive to the drug.
4. Bystrumgel: a potent analgesic with a sustained action.
- Accept: topically 2 times a day, squeezing of 3 cm gel.
- Contraindicated in individual intolerance, pregnancy, dermatitis, eczema and persons under 14 years of age.
5. Homemade ointment with propolis vaseline and butter in a ratio of 1: 2: 2. It relieves pain and prevents the development of inflammation.
All drugs have a potent analgesic effect and eliminate the pain.
Physiotherapy
For physiotherapy treatments include:
1. Fenoforez:
- Ultrasound method provides rapid penetration of drugs into the body;
- It is applied to the affected area ointment, whereupon it for 5 min affect ultrasonic irradiator;
- 12 includes procedures.
2. Elekroforez:
- based on the action of an electric current (5-20 mA);
- used drugs capable of disintegrating and converted into ions then penetrate through the sweat and sebaceous glands;
- to the affected area two superimposed electrode with gauze impregnated with the drug;
- treatment lasts 20 minutes.
3. Laser therapy:
- impact on the affected area with a light beam of a special device;
- procedure lasts 5-10 minutes. and metabolism, helps to eliminate inflammation;
- 20 necessary procedures to achieve the desired effect.
4. Shock wave therapy:
- microtraumas to the affected area applied to activation of metabolism;
- must be 5 treatments at an interval of 7 days in order to achieve the desired result.
5. magnetotherapy:
- magnetic field is used, which reduces swelling and update the affected tissue area;
- procedure takes 20 min .;
- 20 necessary procedures to achieve the effect;
Before going through all the procedures necessary to consult with your doctor about possible contraindications.
Massage
Plantar fasciitis (symptoms and treatment depend on the individual characteristics of the patient) can be treated with massage.
Start with a warm massage is better:
- you need to stand up against the wall and put his injured leg behind the healthy;
- lean on the wall with his hands;
- start ups until the tension of the lower leg muscles;
- stand for 15 seconds;
- slowly return to starting position;
- repeat 5 times.
After the end of the warm-up, you can perform the following exercises:
1. Exercise with massage:
- take the ball, aluminum cans or any smooth spherical object;
- put his foot on the roll and during 5-10 min;
- Repeat this exercise on a daily basis to achieve the effect.
2. Exercise with the bar:
- put a small wooden block (5 cm high) to the wall;
- stand so that the heel hanging from a support;
- stand in this position for 15 seconds;
- repeat the exercise 15 times.
3. Exercise with your fingers:
- full stretch and stretch your feet;
- press your fingers on the affected area and slowly began to knead it on all sides with small circular movements;
- massage 5 minutes.
These exercises are excellent prevention and the development of flatfoot fasciitis.
Gymnastics
For the prevention and treatment of plantar fasciitis using the following exercises:
Exercise №1:
- We need to take the stairs and stand on it, leaning his hands on the wall;
- heel should be raised, and the toes are stretched;
- then it is necessary to descend slowly down without bending the knees;
- hold in position for 30 seconds;
- repeat the exercise 10 times.
Exercise №2:
- spread out a towel on the floor and try to raise it with the toes;
- hold the item for 30 sec., and then lower it slowly, relaxing pace.
Exercise in the "feet together" position:
- to stand in the rack, and reach out his hands to the fingertips;
- grasp the toes and pull them back;
- stand in this position for 10 sec .;
- repeat the exercise 10 times.
These exercises improve the metabolism in tissues and contribute to their renewal.
compresses
The following types of compresses in the treatment of plantar fasciitis:
-
Compress gruel of garlic: Is used as an anti-inflammatory agent. Hold compress do not need more than 30 minutes.
Treatment of plantar fasciitis compresses ineffective and focused on relief of symptoms - Compress using medical bile: foot first steamed and wiping, then placing it on bile strip impregnated linen cloth. The doctor wraps the foot with a special film and putting on her socks. Compress hold throughout the night.
- Compress tangled unsalted bacon: Fat smear the affected area, then apply a compress and leave it overnight.
- Poultice of grated soap and horseradish: mixture was applied to the affected region, the leg is wrapped in foil and put the sock. The compress is left on all night.
Foot baths
Among the therapeutic baths for the feet are the most popular:
- baths with the addition of iodine (1 liter of water needed 1 tbsp. l. iodine);
- bath with addition of sea (rock) salt (in 1 liter of water 1 - 2 tbsp. l. salt);
- bath with pine extract (2 tbsp. l. extract in 1 liter of water);
- trays with broth peel walnut (5 - 10 g per peel tub);
- trays using camomile infusions, nettle, burdock and celandine;
Baths should be taken for 15 - 20 minutes a day. They possess anti-inflammatory effect and relaxing are needed in the treatment of diseases of feet.
applications
For the treatment of plantar fasciitis are used:
- Mud: on the affected leg is superimposed on the mud for 20 minutes. To achieve the effect you need 15 treatments.
- Paraffin baths: paraffin is heated in a special container, and then applied with a brush to the affected area. Leg wrap film after application and are dressed in a sock. Appliqué can be left on all night.
contrast baths
Contrast baths are best used in combination with compression and soothing foot bath. 
They normalize blood circulation in the feet, relieve edema, help stabilize metabolic processes and elimination of inflammation.
Insoles for shoes
There are several types of insoles for people with this disease:
| Type of insoles | Characteristic |
| Insole in the form of inserts |
|
| gel insoles |
|
| silicone insoles |
|
| polustelki |
|
When choosing the insoles is best to consult with a specialist. He will select the option you want, based on the individual patient.
Comfortable shoes
When the plantar fascia is important to choose comfortable shoes.
It should have:
- size suitable for a person;
- the correct form;
Shoes should not compress the leg and cause discomfort during walking. It would be the best shoes of soft leather or suede on a small hill. Shoes with high heels and flat sole is contraindicated because it shall entail an excessive burden on the body and the risk of developing flatfoot.
Shoes should be made of natural breathable materials and do not hesitate leg.
walking barefoot
Walking barefoot can lead to an exacerbation of plantar fasciitis. To avoid this, doctors recommend wearing house slippers special orthopedic inserts and supports to maintain the foot in the desired position, and all the rest of the shoe insole underlay. Ignoring this rule, the patient risks exacerbate the disease process and acquire a disability.
It is necessary to recognize the symptoms of plantar fasciitis to undergo quality and timely treatment. Subject to all the tips you can avoid this disease and keep your feet healthy.
Registration of the article: Mila Friedan
Videos about plantar fasciitis
Elena Malysheva tell about plantar fasciitis:
