The treatments for plantar flascitis And The diagnosis
The diagnosis of plantar fasciitis is made after an orthopedic specialist visit , during which the presence and location of the pain will be verified.
In addition, instrumental investigations may be necessary, such as x-rays performed under load, which will document the cavity of the foot and often the presence of a heel spur plantar fasciitis treatment in singapore.
The latter is the indirect image of the existence of an inflammation of the periosteum (membrane covering the bone) which, due to fascial tension , is then stimulated, at the insertion point of the fascia at the level of the heel, to produce again bone along the traction axis of the fascia itself. Since this is a strictly mechanical pathology, the treatment will be aimed at reducing or abolishing the tension of the plantar fascia . Therefore, it will also be purely mechanical and consist in the release of the fascial cord. This can be achieved electively by using a shoe with a comfortable heel of three / four centimeters, even in men. Possibly, the external heel, which if too high is badly accepted by the male patient for aesthetic reasons, can be associated with a non-deformable heel unit which, therefore, maintains its thickness under the weight of the body, inside the shoe.
Once this need has been met, physical and pharmacological therapy can also be combined .
This consists of:
- Administration of non-steroidal anti-inflammatory drugs and corticosteroids
- Stretching and strengthening exercises
- Shock waves
- Laser therapy
- Ultrasound
The infiltrations , here, are not recommended because they are too painful and with an uncertain outcome, as well as the insoles “to support the arch of the foot”, which actually increase the tension of the fascia itself and can even worsen the symptoms.
If the patient follows these remedies scrupulously, the pain usually subsides within a few weeks, without the need for surgery. indication for surgery .
Surgical treatment for plantar fasciitis
The intervention consists in the interruption and section of the plantar fascia , in its entirety, while the surgical techniques aimed at the removal of the heel spur, the disinsertion of the fascia at this level or the removal of the fascia itself are overcome and not free from complications. . The most modern and minimally invasive technique consists in the percutaneous interruption of the plantar fascia under the skin, therefore performed without surgical incisions.