Plantar Fasciitis

The symptom of Plantar Fasciitis is painful burning sensation in the bottom of the foot at the front or center of the heel bone.

The pain may be worse upon waking in the morning and is often referred to as “first-step pain.” It may also suddenly appear upon standing after sitting for a long time.

 Symptoms       Causes        Solutions

Dr. Sam Dubé discusses plantar fasciitis

Learn about the symptoms, causes, and benefits of different treatment options.


 What causes plantar fasciitis?

Plantar fasciitis develops as a result of poor foot mechanics caused by footwear use.

The feet have thick, fibrous bands of tissue, called the plantar fascia, which connects the heel bones to the balls of the feet.

The plantar fascia becomes overstretched or strained when the muscles that form and maintain the foot’s arch system are not working efficiently. When the plantar fascia is excessively and repeatedly stretched to the point of strain, tiny tears can occur in its surface that cause pain and inflammation.

When the arches are unable to safely manage the vertical forces generated by the body’s weight, the arches collapse, creating stress and strain on the plantar fascia.

Historically, over-pronation (collapsing arches) has been thought to be hereditary. However, modern science has identified that the nervous system plays a critical role in stabilizing the feet and ankles when walking or running. It is now understood that over-pronation is a symptom of inefficient neuromuscular function caused by conventional footwear use. In fact, conventional footwear use causes poor neuromuscular function throughout the feet, legs, hips, and back, when:

  • the soles of the feet don’t receive the subtle, varied stimulus that the nervous system requires for healthy function, and

  • snug toe boxes, stiff midsoles/outsoles/uppers and tight lacing restrict healthy foot movement.

To learn more about how your shoes may be causing your foot, leg, hip, and back pain, click HERE.

 



 Solutions

The best way to prevent and treat plantar fasciitis is to retrain healthy neuromuscular function and to use footwear that is soft, flexible, and roomier in the forefoot.

Conventional treatment methods for plantar fasciitis

Since the late 1890s, the standard treatment for plantar fasciitis has been to artificially support the arches with an orthotic. Other conventional treatment options include:

  • Cushioning products

  • Therapy to eliminate the damage and heal the plantar fascia

  • Ice

Modern science has transitioned away from using long-term support and cushioning on any body part because it causes a progressive weakening of the body part being supported or cushioned.

The modern approach to treating plantar fasciitis

Science underscores the body's inherent ability to restore and improve its own function when presented with the appropriate challenges. This principle lies at the heart of contemporary therapeutic methods used to correct and enhance neuromuscular function, particularly in foot health.

Therapeutic rehabilitation, focusing on the body's natural mechanics and responses, emerges as the safest and most effective strategy for addressing the underlying causes of conditions like plantar fasciitis, shifting the focus from temporary relief to long-term health and functionality.

Understanding the Fundamentals:

  • Proper Technique: This refers to rehabilitative exercises that concentrate on re-establishing optimal neuromuscular function. It's about reinforcing healthy mobility, muscle strength, stability, and alignment in a safe manner.

  • Right Stimulus and Right Movement: Effective movement is predicated on the quality of sensory information the brain receives, particularly from the soles of the feet. The feet's nerve endings are crucial in transmitting this data, ensuring coordinated movement throughout the musculoskeletal system. When sensory input is compromised—as is often the case with conventional footwear—the body's natural reflexes and movements can be inhibited.

Adopting the Modern Approach:

  1. Barefoot Walking: Engage in barefoot walking, particularly on natural surfaces, as frequently as feasible. This practice delivers the optimal stimulus for healthy neuromuscular function, promoting the right kind of movement.

  2. Utilization of Biopods®: Incorporate Biopods footwear or insoles into your routine. Our footwear is designed to create an ideal environment for proper foot technique, while our insoles are crafted to enhance the sensory feedback in your conventional shoes. For optimal results, use in footwear that is soft, flexible, and allows for natural movement of the arches and toes.

  3. Consultation with Healthcare Professionals: Prior injuries might have led to the formation of fibrotic scar tissue. It's advisable to consult with a healthcare practitioner about therapies that can address these issues to facilitate better foot function.

Conclusion:

The modern approach to foot health is integrative and proactive, focusing on encouraging the body's natural ability to heal and maintain itself. It's an investment in your long-term health and wellbeing, steering away from temporary fixes and instead, fostering lasting, comprehensive foot health.

Consult with your healthcare practitioner to ask about employing soft tissue mobilization therapies to address the fibrotic scar tissue that may have formed prior to using Biopods.

    For more information on what to expect when using Biopods, click HERE.

     

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