There are many people who suffer joint ailments because of the conditions in which they work, because of the practice of some sports or, simply, because of the erosion of time.
Specifically, the appearance of persistent pain in the plantar fascia is a very recurrent problem in patients who spend many hours standing or on hard surfaces. In addition, ballet, aerobic dance and other sports that keep this area of the body in constant tension microlesions can sometimes lead to inflammation.
The Head of the Orthopedic Surgery and Traumatology Service of the Hospital Quirónsalud San José, doctor Ghassan Elgeadi, explains that plantar fasciitis is a very common pathology due, in most cases, “to the mechanics of the foot itself, whether it is a flat foot or if it has an excessive arch”. It can also influence mechanical overload on the plantar fasciain cases in which the patient is obese”, he adds.
“In most cases this pathology is due to the mechanics of the foot itself”
Addressing pain in this joint area as soon as possible is essential to rule out other types of ailments, promote a correct diagnosis and subsequently apply a plan for recovery and effective control of the disease. In this way we can return to our routines and soften the discomfort.
Plantar fasciitis symptoms
Plantar fasciitis is inflammation of the foot fascia (the lower fibrous tissue that connects the heel bone to the toes), causing “stabbing pain usually located in the heel”details the professional Quironsalud. The discomfort dissipates as we take steps, but it gets worse after “having been standing for a while or, above all, in the mornings”.
Given the excessive stretching of this area and the tension, the patient suffers from small tears or swelling that can lead to pain “with stabbing characteristics in the sole of the foot”. In addition to the risk factors mentioned, which favor its appearance, “the age group most susceptible to suffering from it are people between 40 and 60 years of age, since we suffer changes in these ages that are related to the connective tissues”, says Elgeadi.
“The age group most susceptible to suffering from it are people between 40 and 60 years old”
To determine that the pain corresponds to this pathology and not to a similar one, it is essential to carry out a series of tests. Diagnostic methods such as radiography, resonance or ultrasound help to understand what is happening inside the foot. In this way, other causes can be ruled out and a treatment assigned “depending on the level of tearif there is calcification within the fascia or if there is any bone edema”.
The importance of correct treatment
In addition to ruling out other pathologies with symptoms similar to plantar fasciitis, for a correct recovery of the patient, emphasis must be placed on all the complementary tests. Needed “a good clinical examination of the patient and a very good clinical history”indicates the specialist.
Once analyzed which risk factors the patient fulfills and which ones he does not, the first step is “trying to improve the mechanics of the foot and starting treatment with anti-inflammatory measures and conservative measures”. Avoiding these factors or improving them is essential and the first step to optimizing recovery.
“It is a priority to improve the mechanics of the foot and start treatment with conservative measures”
Second, a conservative treatment with ice and wearing more comfortable shoes will promote the well-being of the sole of the foot. Furthermore, in the opinion of Ghassan Elgeadi, physiotherapy “will always help us reduce time” of this pathology. If none of these guidelines has been effective, the second line of treatment would involve “the use of combined infiltrations, orthobiological treatment and even shock waves.”
However, there are extreme cases that require surgical treatment, which will be addressed “using different techniques depending on the professional and the experience of each one”. According to this expert, the Quirónsalud San José Hospital recommends the ultrasound technique, which is minimally invasive.