The Boyertown Area Times

Plantar fasciitis — will physical therapy help my foot pain?

- Dr. Mishock is one of only a few clinicians with doctorate level degrees in both physical therapy and chiropract­ic in the state of PA. By John R. Mishock, PT, DPT, DC Mishock Physical Therapy

Approximat­ely 10 percent of the U.S. population lives with foot pain. Plantar fasciitis is the most common cause of foot and heel pain.

The plantar fascia is a flat band of tissue (ligament) that connects the heel bone to the toes, providing support to the arch of the foot. Plantar fasciitis presents with a deep ache and/or sharp pain in the bottom of the heel or the foot. The pain is commonly felt in the morning or following prolonged sitting or weight-bearing activity (walking or running).

Studies have shown that the use of physical therapy can significan­tly reduce pain and improve function in patients with foot pain. Despite the mounting evidence on the positive treatment outcomes, physical therapy is currently being underutili­zed by those suffering from foot pain. Only 7 percent of patients seek care from a physical therapist when dealing with plantar fasciitis and other foot pain related disorders. Evidence suggests that physical therapy will help patients recover faster and at a lower cost, saving up to $340 per episode of plantar fasciitis.

In treating foot pain, physical therapists use a wide variety of techniques to decrease pain and improve function, such as modalities (the use of cold, heat, electricit­y and ultrasound); hands-on manual therapy techniques (techniques done by physical therapists using their hands in very precise ways to relax muscles in spasm, lengthen tight muscles, improve circulatio­n and optimize scar tissue developmen­t); Graston technique/IASTM (instrument-assisted soft tissue mobilizati­on to increase circulatio­n, optimize scar tissue and facilitate healing); exercises (to improve strength and enhance optimal tissue healing); body mechanics and posture education (to help in understand­ing why the problem occurred and ways to prevent further injury); Kinesio taping and strapping techniques; and orthotics.

Beyond foot pain, often poor foot mechanics can be the underlying cause of many of the painful conditions that lead to altered function and poor quality of life. Conditions commonly associated with poor foot mechanics include Achilles tendinitis, shin splints, runner’s knee, piriformis syndrome, IT (Iliotibial) band syndrome, sacroiliac joint dysfunctio­n and lower back pain.

So if you have mechanical foot pain or altered function, please give us a call for a free phone consultati­on at (610) 3272600. Also, visit our website at www.mishockpt. com. Mishock Physical Therapy has six convenient locations to serve you in Skippack, Phoenixvil­le, Gilbertsvi­lle, Limerick, Barto and Stowe (Pottstown)!

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