By Angela Briggs


There are a number of available options for plantar fasciitis treatment san francisco residents can consider if they hope to get rid of this problem. The treatments are focussed on a number of objectives that include, among others, pain reduction. The pain is said to be worst in the first few hours after waking up and improves as the day progresses. It may incapacitate the patient significantly if not properly taken care of. Another major objective is the restoration of function.

The condition is a fairly common occurrence and affects many athletes. This is due to the repeated act of straining the planter fascia, a sheet of tissue that connects the sole of the foot and the toes. Inflammation of the torn tissue results in considerable pain. It is also common in people who use improper foot wear for prolonged periods of time. Other persons thought to be at high risk include pregnant women and the obese.

It is important for the affected individual to seek treatment as soon as possible. Early intervention has been associated with better response to therapy compared to those who seek treatment when the condition has already progressed. One of the conservative approaches that can be used is to have adequate rest and to restrict movement. Affected individuals should as much as possible avoid walking on hard surface such as concrete. Severe pain may be relieved by use of ice packs.

Conservative treatments are quite effective as long as the patient adheres to the prescription. Statistics show that about 90% of persons on conservative management recover completely within about one year. The available modes of management are often used singly or in combination to optimize the response. This is mainly determined by the severity of symptoms and the patient response to the various therapies. Surgery should only be considered when the conservative methods fail.

Pain relief may also be done through the use of NSAIDS, non-steroidal anti-inflammatory drugs. Examples of these include aspirin, ibuprofen and naproxen. Since relief is often short term for most patients, there is a tendency to take too much of the drugs. The effect of this is an increase in the incidence of side effects such as renal failure and peptic ulcer disease. Commonly used NSAIDS include aspirin, ibuprofen and naproxen.

Persons with plantar fasciitis need to have proper shoe wear. They should choose shoes that will relieve pressure from their heels and soles and also maintain the foot arches in position. Cushioning helps in ensuring that pressure is transmitted evenly. The same effect is obtained with the use of orthotics. The recommendation is that orthotics should be used on both feet.

Physical exercise plays a very significant role in the management. Simple routines done on a daily basis are just enough. These include toe stretches, calf stretches and towel stretches. Done, regularly, these exercises help in the maintenance of proper arches and increase ligament flexibility.

If on plantar fasciitis treatment san francisco should remember that response to therapy is widely variable among patients. Whereas others respond within a short period of time, others take much longer. There is need for regular clinic visits to assess the progress.




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