Heel Heal

Health & Nutrition - - JUST LAUNCHED -

I am 46 years, and have been suf­fer­ing from Plan­tar Fasci­itis for the last one year. No painkillers, heat ther­apy or ex­er­cise has helped. Can you please sug­gest a rem­edy? Yogita Naik, Su­rat

Plan­tar fasci­itis is a very com­mon and ir­ri­tat­ing com­plaint both to the pa­tient and the doc­tor be­cause there is no easy or fast so­lu­tion. Blood should be checked for di­a­betes, thy­roid and uric acid be­cause it tends to af­fect this sub­group the most. X-rays are of no ther­a­peu­tic value. Ini­tial treat­ment en­tails the wear­ing of ex­tremely soft slightly raised (at the heel) shoes or slip­pers which must be worn at all times. Ex­er­cises to stretch the plan­tar fas­cia are very help­ful in the early phases. Mas­sag­ing the plan­tar fas­cia from the heel to the toes helps. Us­ing a ten­nis ball and rolling your foot over it also helps. In dif­fi­cult sit­u­a­tions like yours, af­ter a year, steroid in­jec­tions are usu­ally help­ful. It may or may not give per­ma­nent re­lief. Surgery of plan­tar fas­cia re­lease is needed in only 3-5% cases. Im­por­tant to note: The ear­lier you treat plan­tar fasci­itis, the bet­ter it gets. It should never be al­lowed to get chronic be­cause it then takes longer to heal. Med­i­ca­tions with col­la­gen and mu­copolysac­cha­rides help to a cer­tain ex­tent too.

Dr Ni­rad S Vengsarkar, Or­thopaedic Spine & Joint Re­place­ment Sur­geon

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