Wednesday, April 20, 2011

To heel spur or not to heel spur?

 Have you ever tried to get out of bed in the morning, and it felt like your heel was bruised and it hurt to walk? Don’t remember injuring yourself, what could that be?
That’s classic for plantar fasciitis-the swelling of the plantar fascia, erroneously known as heel spurs (though over time a spur will form on the calcaneus from chronic stress, it is not a pain generator). The bottom of your foot is composed of 3 arches that act as shock absorbers. They are covered by tissue known as fascia. As you stand and walk, you exert 3-5times the force of gravity on your feet. Over time, the fascia over stretches and becomes inflamed. Not that you expressly did anything to mess it up, it just happens. Like a rubber band that you pull over and over and it eventually frays. This is extremely painful and sometimes debilitating. Though it may seem like it came on overnight, it has actually been brewing for some time. Just like no good wine before its time, there’s no good crippling foot pain before its time (doesn’t rhyme as well).
Ice is a powerful anti-inflammatory and excellent home remedy. Also make sure you are wearing proper fitting, well-made and not over-worn shoes.  However, to prevent it from coming back or getting worse, most people will need a round of rehab to correct the damage followed with customized foot orthotics to help stabilize the foot and ensure proper function.  


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