Plantar fasciitis/heel pain

  Physical therapy Rest and use physical therapy to improve heel pain, including ultrashort wave and electrotherapy. For heel pain caused by prolonged standing or after exercise, ice can be applied to the heel for 10 to 15 minutes. If there is no significant improvement, local steroid injection can be considered.  Arch support The use of insoles with arch support can evenly distribute the pressure on the bottom of the patient’s foot, which can effectively reduce the tension on the plantar fascia during weight-bearing of the lower extremity, thus reducing the damage to the plantar fascia from repeated pulling.  Stretching exercises 1, leaning against the wall to open the upper arm forward to shoulder height, press the palm of your hand against the wall, when bending one knee towards the wall, keep the other knee straight; while bending the knee cover slowly leaning forward, try to keep the heel flat on the ground, when you feel the tension in the Achilles tendon and arch of the foot, hold this position for 10 seconds, then relax and stand upright.  2. Lean forward on a fixed object and slowly squat down, keeping both heels on the ground. When you feel the Achilles tendon and foot arch will rise off the ground and the muscles are fully stretched, hold this posture for 10 seconds, then stand upright. Can be repeatedly practiced.  3, the bottom step of the stairs with the front foot balance standing, slowly lower the heel until you start to feel the calf muscle tension, hold this position for 10 seconds, then stand up, and repeat the action.  Other treatment 1.Oral non-steroidal anti-inflammatory and analgesic drug treatment.  2.Departmental closure treatment.  3.Paste cream on the heel muscle surface can stimulate nerve endings, reduce irritation and relieve pain.  4.Soak the feet with hot water can relieve the pain.  Plantar fasciitis rehabilitation actions are as follows: a. Plantar fascia massage exercise: use your thumbs to press the plantar fascia at the front and back of the foot, the degree of pressure to feel the bottom of the foot will be sore; 2-3 times a day, 2-3 minutes each time. This massage can relieve the fascia tightness, improve plantar blood circulation.  Second, the plantar fascia pulling exercise: one hand fixed heel, the other hand holding the toes, force the toes up to the fascia has been pulled feeling; each pulling stay 10 seconds and then relax, repeat 10 times. Another method, knees straight, and then take a towel placed on the front of the foot, the second hand respectively hold the towel two sides, pull hard inward until the fascia felt pulled; the same each time after pulling stay for 10 seconds and then relax, repeat 10 times. This action can relieve the fascia tightness, increase the fascia elasticity.  Third, the Achilles tendon pulling exercise: feet in a lunge position, hands on the wall, the whole back foot needs to be completely on the ground, the bottom of the foot has a fully extended feeling; this action stays 10 seconds and then relax, repeat 10 times, do 2-3 times a day. Stand at the wall with your back pressed against the wall and your feet straight, place a slanted board under your feet with the ground showing about 20 to 30 degrees, then let your forefoot be higher than your heel; keep standing for 10 seconds and then go to the normal ground and relax, repeat 10 times, 2-3 times a day.  For plantar fasciitis, if treated early and effectively, most people can be cured; if it is delayed too long, it becomes chronic and tricky. This is a very troubling disease, but it is also a preventable and curable disease. By improving your knowledge of daily hygiene and stretching techniques, you can reduce the chances of plantar fasciitis occurring.  Gradually increase the amount of rehabilitation training; avoid repeated heel strokes; avoid walking on uneven surfaces for long periods of time; control your weight and lose weight moderately; correct poor force lines, you need to know whether there are poor force lines in the foot, consult a professional doctor for biomechanical analysis, if there is a problem, you need to correct it immediately to ensure the normal function of the foot. As the saying goes, “A nine-story platform starts with a foundation; a thousand-mile journey begins with a single step”, poor force lines not only cause recurrence of plantar fasciitis, but also easily lead to other diseases such as Achilles tendonitis and bunion.  Choosing the right shoes, especially in the rehabilitation process is quite important. Running shoes that are badly worn, too tight, or not supportive enough need to be replaced immediately. The average running shoe, with more than 640 kilometers of walking, will show severe wear; if you count by time, shoes that have been worn cumulatively for more than 6 months will generally need to be replaced.  Continue stretching and plyometric training, especially for the plantar fascia and calf muscles.  Apply appropriate ice to the bottom of the foot after exercise. Especially early in recovery to help control inflammation.