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What
is plantar fasciitis or heel spur syndrome? Plantar fasciitis, also known as heel spur syndrome, is characterized by pain on the inferior surface of the heel. It is a common medical problem that can be associated with debilitating pain. Typically, aching or sharp heel pain is described by patients when first bearing weight upon arising in the morning, or following periods of sitting. In addition, pain can be significant following prolonged standing or walking. Many factors can be associated with the onset of this condition. As an overuse syndrome, biomechanical abnormalities, obesity and prolonged periods of weight bearing can all play a role in this problem. |
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How is this problem diagnosed? |
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What
is Achilles Tendonitis? Achilles tendonitis is a painful and often debilitating inflammation of the Achilles tendon, also called the heel cord. The Achilles tendon is the largest and strongest tendon in the body. It is located in the back of the lower leg, attaches to the heel bone (calcaneus), and connects the leg muscles to the foot. The Achilles tendon gives us the ability to rise up on our toes, facilitating the act of walking, and Achilles tendonitis can make walking almost impossible. |
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What
are appropriate conservative treatments prior to considering Extracorporeal
Shock Wave Therapy? Conservative treatment for plantar fasciitis generally includes both an anti-inflammatory and a mechanical approach. Oral anti-inflammatory medications (either over-the-counter or prescription) as well as injectible anti-inflammatory steroids are typically recommended. Physical therapy modalities may also be instituted. Mechanical treatment approaches to plantar fasciitis include use of appropriate shoegear, heel cushions, custom fabricated in-shoe orthoses and stretching exercises. A patient who continues to have disabling pain following at least six months of treatment with these various modalities, may be a candidate for ESWT. This non-invasive procedure is highly recommended prior to considering surgical intervention. |
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3230
Waring Ct., Suite M, Oceanside, CA 92056 Tel: (760) 630-8110 Fax:
(760) 630-6239
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