Plantar Fasciitis – Pain in the sole

Plantar fasciitis (PF) is a degenerative plantar fascia syndrome resulting from repetitive trauma in its calcaneus origin. It is known as the most common cause of lower adult heel pain. Other names include heel pain syndrome, heel spur syndrome, runner’s heel, sub calcaneal pain, calcanea Denia, and calcaneus periostitis.
The word fasciitis assumes inflammation to be an internal component of this condition. However, recent research suggests that some forms have a noninflammatory manifestation, but a degenerative process, and may be better termed “plantar fasciitis.” In the USA, over 2 million individuals have treated annually for PF, totaling 11 to 15% of visits to professionals related to foot pain.
It affects individual regardless of gender, age, ethnicity or activity level. It is found in personal fitness as a runner and military personnel, but is prevalent also in the general population, particularly in women aged 40-60 years.

Risk factors

Plantar Fascia is the likely result of multiple factors. A recent case-control study had identified obesity or sudden weight gain, reduction of ankle dorsiflexion, flat foot, and occupation requiring prolonged weight discharge as the major risk factors associated with Fascia Plantar.
Reports show that from 81 to 86% of individuals with consistent symptoms of PF have excessive pronation. People with flat feet, associated with decreased bow, are strong candidates for FP. However, people with bare feet also have potential risk because of the inability to dissipate forces during weight-bearing activities. Another possible anatomical risk includes discrepancies in limb height, excessive tibial lateral twisting, and excessive femoral anteversion.
People with occupations requiring prolonged weight discharge have been considered at risk for PF because of the repetitive strain of the load on the fascia.
Calcaneal spasm has been commonly reported as a risk factor for PF. Approximately half of the patients diagnosed with PF have calcaneal spurs, although it is uncertain how much the spur influences this condition. A study reviewing radiographs of 1000 patients found that 13.2% had spurs; Of these, only 39% (5.2% of the total) reported some history of sub calcaneal pain.

Signals and symptoms
The classic presentation of PF is the pain in the sole in the lower region of the heel. Patients report the pain being particularly bad in the first steps in the morning awakening or after a prolonged time of weight-dumping activities. The pain can be so intense that the limbs or hobbles around with the affected heel off the ground. After a few steps and during the day, the heel pain decreases but returns with an intense or prolonged activity of weight discharge. Initial reports of pain may be diffuse or migratory; However, over time this usually focuses on the central tuberosity area of ​​the calcaneus. Pain is more significant when weight-bearing activities are involved, and may often be related to the intensity of physical activity before the onset of symptoms.

Shoes or insole for foot pain may help reduce the pain. However, Acupuncture is another option for foot pain relief. Acupuncture acts on pain in the region of the plantar fascia and plantar pole of the calcaneus in a satisfactory way, redemption pain and facilitating the return of patients to normal activities, including sports such as training and competitions at levels before the injury.
It was also observed a picture of emotional balance that could notice in other dimensions of daily life as the improvement of sleep, the increase of the capacity of concentration and sensation of general well-being, which leads us to affirm that acupuncture is an effective support For physical and mental well-being.
The application of this procedure favored the resurgence of pain and provided a state of well-being of the patients, not previously obtained with other treatments.

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