Fascite Plangar: Understanding the causes and treatments for the problem

Fascite Plangar: Understanding the causes and treatments for the problem


The doctor comments on a problem that causes pain in the foot sole and difficulty walking, known as planting fasciitis

You heard plantar fasciitis, An inflammation that causes pain in the foot sole and difficulty walking? “The band is a membrane of the connective tissue that covers the muscle, but when there is a high requirement of it, it can be damage. This causes inflammation of the band, which in this region is called plantar fasciitis, a common cause of pain in the feet”, explains the orthopedist Dr. Fernando Jorge.




According to him, the problem is common in athletes, more elderly patients and women who frequently use high heels. “The use of the heel alters the biomechanics of the march and overloads the front region of the foot, in particular the head of the metatarsal bones and the footbed, which can cause repetitive microtraums and finally inflammation,” he explains.

Other things that could have to do with foot fasciitis are: sudden increase in the intensity or distance in the training of the impact, obesity, the use of inadequate shoes, boring feet or the high arch, working for a long time, continuous tension in the muscles of the calf, arthritis, pregnancy and stress.

The doctor, specialized in the intervention of pain (Albert Einstein Hospital) and interventionist medicine in pain (USP Medical School – Ribeirão Preto), comments that if inflammation becomes chronic, the plantar band can start becoming thicker. This is due to the accumulation of scar tissue.

To avoid this, it is necessary to ask for medical advice. Professionals can recommend various treatments, including the use of botulinum toxin. Understand below:

Treatments for plantar fasciitis

In general, the treatment begins with conservative measures such as rest, ice application, lengthening and shoe change. However, when this is not enough, it is necessary to try other techniques.

One of the possible techniques is the use of botulinum toxin. According to the expert, it is a promising therapeutic alternative in the treatment of plantar fasciitis, especially in cases resistant to conventional approaches.

“Botulinum toxin acts by promoting muscle relaxation and reducing the tension on the plantar band. The toxin has its application of infiltration (injection) directly in the calf muscles, especially in the gastrocnan (more frequently)) or in the single muscle, to relieve tension in Acili, reducing the overload of the plantar band,” he explains. “

It also comments that the application is guided by ultrasound, thus guaranteeing the safety of the procedure. The technique can work for those who have already phase of plantation or for prevention, in the case of people with increased risk. The application can occur every three or six months, depending on the response to the treatment and evolution of symptoms.

However, according to dr. Fernando Jorge, this is just one of the techniques. The treatment can also have specific physiotherapy for the stretching of the plantar band and the strengthening of the muscles, the supporting orthoses of the footbed, pain relievers and anti -inflammatory drugs when necessary and the therapy of shock waves (technique that stimulates the regeneration of the fabrics). In more serious cases, surgery may be requested.

“Despite numerous treatments, the most important thing is always to adopt a preventive approach, alternating the use of high heels with more comfortable shoes, strengthening the muscles of the feet and regularly lengthening the veal region. With these precautions, we assure ourselves that the feet are prepared to support the weight of the body in every step”, concludes Dr. Fernando Jorge.

Source: Terra

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