Plantar Fasciitis | What is it?
Plantar fasciitis is usually described as a sharp pain in the heel that will radiate along the bottom inside part of the foot, especially first thing in the morning. Many people suffer from a condition known as plantar fasciitis, which in Lehman’s terms means inflammation to the bottom of the foot. It is estimated plantar fasciitis is found in 10% of runners.
The foot is a very complex structure, that is put under much demand through activity. This results in pain, stiffness, and the sensation of being unable to walk, especially first thing in the morning. This could be a result of a lack of support in the foot, limited mobility in the toes and ankle, or poor kinematics throughout the body. When there is dysfunction in either the foot or ankle, the pain can show up through overcompensation in the knee, hip, or lower back.
Plantar Fasciitis | Evaluation
Through careful examination and evaluation, we work to identify and correct the exact structures that provide stability and mobility to the foot. 26 bones make up the foot and each articulation plays a role in providing information to the brain to perform tasks such as standing, walking, running, and jumping. If there isn’t adequate motion, there could be a limited amount of sensory input to the brain, resulting in compensatory patterns through the leg and low back in order to achieve a simple task such as standing. By mobilizing these joints, we are providing input to the brain that the foot is able to move as intended.
Plantar Fasciitis Treatment
A main focus of plantar fasciitis treatment is through Active Release Techniques muscle therapy. With Active Release Techniques, we can isolate each individual to remove any adhesions or micro-adhesions within that specific muscle, or along adjacent structures as well. With plantar fasciitis, muscles that could be involved include the following:
- Quadratus Plantae
- Flexor Digitorum Brevis
- Flexor Digitorum Longus
- Adductor Hallucis
- Flexor Hallucis Longus
- Flexor Hallucis Brevis
- Tibialis Posterior
- Achilles Tendon
Once we’ve treated the muscles and joints in question, we work to re-educate stability of the foot through corrective exercises. Understanding each patient’s unique gait kinematics is key in order to help the patient move better, in order to move forward with confidence.
Active Release Techniques Certified Provider
Dr. Centofonti is full body Active Release Techniques (ART) Certified Provider, which includes extensive knowledge of the lower extremity and conditions such as plantar fasciitis, runner’s knee, hip pain and ankle pain. Active Release Techniques muscle therapy is a patented, soft tissue therapy that treats conditions within muscles, tendons, ligaments, fascia and nerves.
“I was referred to Dr. Centofonti through my gym after having shoulder and hip impingement issues. After just a few sessions, I was not only able to lift weights that were previously out of reach but more importantly pain-free. This allowed me to push myself even further by running my first half-marathon in sub 1:40. I can’t thank Dr. Centofonti for his knowledge and expertise in keeping me healthy and striving to hit new fitness goals.”
– Brian H.