2014-01-18

There are a good number of available options for plantar fasciitis treatment san francisco residents may need to consider to solve this problem. Therapy is focussed on eliminating pain and restoring normal function of the foot. Pain has been observed to be worst in the morning and to improve as the day progresses. If not addressed early, incapacitation sets in and this may reach a point where the effects are irreversible.

It has been established through research that this problem is very common among athletes. Athletes stretch the planter fascia excessively and more frequently than the average person. This fascia is a thin stretch of tissue that extends from the heel of the foot to the toes. When continuously stretched, it becomes inflamed and causes considerable pain. The same may be seen in people with a tendency of putting on small-sized shoes. Risk factors include obesity and pregnancy.

When you first start noticing any form of discomfort, you will be well advised to seek treatment immediately. This kind of behaviour has been shown to result in better outcomes as compared to late intervention. Resting adequately helps to give time for the affected tissues to heal and for the symptoms to abate. Intense physical exercises and walking on hard concrete aggravates the situation and should, for this reason, be avoided.

Conservative therapies should be considered in the initial stages of management. These therapies are effective in at least 9 out of every 10 patients provided there is good adherence to the prescribed plan of management. A majority of them show significant improvement within the first year of therapy. It is a very common practice for different therapies to be combined in a bid to get the best outcomes. The success of the therapy heavily depends on symptom severity and the type of therapy.

It is advisable to start with simple medications before moving to the stronger agents. NSAIDS or non-steroidal anti-inflammatory drugs are a common choice. The commonly used agents within this group include naproxen, ibuprofen and aspirin. These drugs may cause serious side effects if not used cautiously. They have been reported to cause ulcers and renal failure in some users. If these fail, one is advised to seek medical attention.

Improper shoes are an aggravating factor and should therefore be replaced. The shoes chosen should be good at shock absorption and arch support. Cushioning is enhanced through the addition of orthotics to help reduce the strain exerted on the heel and other pressure points. Both feet must be considered for this replacement whether or not both are involved.

The other important measure that can be undertaken is regular physical exercise. To be effective, this has to be done on a regular basis. The best time for the exercises is early in the morning after waking up. The preferred routines include calf and toe stretching and towel stretches. Such routines help in increasing ligament flexibility and improving arch support.

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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