Fasceíte Plantar LIBERAÇÃO MIOFASCIAL INSTRUMENTAL & TERAPIA MANUAL - Fisioterapia Dr. Robson Sitta

▼DR. PHYSIOTHERAPY CLINIC ROBSON SITTA (11)2528.4661 Call and schedule your appointment Rua Coriolano 1480 - Vila Romana (Lapa), SP JOIN MY SOCIAL NETWORKS: ▼ SUBSCRIBE on YOUTUBE: https://www.youtube.com/channel/UCb7a... ▼ Visit the OFFICIAL SITE: www.fisiositta.com.br ▼ LIKE on FACEBOOK: https://www.facebook.com/fisiositta?f... ▼ ADD on LINKEDIN:   / robson-sit.  . ▼ FOLLOW on INSTAGRAM:   / robson.sitta   PHYSIOTHERAPY SPECIALIZED in ORTHOPEDICS & THERAPY MANUAL Plantar fasciitis is an inflammatory or degenerative process that affects the plantar fascia, a membrane of connective tissue that covers the muscles of the sole of the foot. Plantar fasciitis is an inflammatory or degenerative process that affects the plantar fascia (also called plantar aponeurosis), a membrane of fibrous and inelastic connective tissue that covers the muscles of the sole of the foot, from the calcaneus bone, which gives the shape of the heel, to the base of the toes. The disease manifests itself mainly between the ages of 40 and 60. It can affect both men and women. Overweight people, athletes, especially runners, dancers, and gymnasts. Women, because they frequently wear shoes with very high heels, are more likely to develop this condition. It is important not to confuse plantar fasciitis with heel spurs. These are two different pathologies, although they can be triggered by very similar injuries: microtrauma and chronic inflammation in the heel region, near the insertion of the Achilles tendon. In the specific case of heel spurs, calcium deposits appear under or behind this bone. They form hook-like protrusions that resemble the spurs on a rooster's feet. Heel spurs can cause sharp, stabbing pain that worsens with movement and improves with rest. Plantar fasciitis is generally a disorder with a good prognosis, but recovery is usually quite slow. Causes The exact cause of plantar fasciitis is still unknown. In most cases, however, the severe pain characteristic of the disorder is caused by excessive stretching of the plantar fascia or by repeated microtrauma to this structure that provides support and stability to the plantar arch. In other words: it is the plantar fascia that helps to keep the arch of the foot firm, thanks to its ability to cushion and distribute impact. According to the SBED (Brazilian Society for the Study of Pain), recent studies have shown that the pain typical of plantar fasciitis may be associated with “a structural change more consistent with degenerative processes” caused by excessive exercise, being overweight or age. SYMPTOMS The characteristic symptom of plantar fasciitis is a strong, stabbing pain under the foot, near the heel. In general, this pain is more intense in the morning, but eases during the day with walking. However, there is nothing to prevent it from appearing at any point in the fascia, after long periods of standing, after climbing stairs or even after resting for a while. Swelling (edema) and redness (erythema) are other signs of inflammation that may be present in cases of plantar fasciitis. People with this condition may also have difficulty dorsiflexing their foot, that is, they have difficulty bringing the tip of their foot towards their shin. Without treatment, plantar fasciitis pain can become chronic and cause changes in gait that can lead to injuries to the knee, hips and spine. DIAGNOSIS Initially, the diagnosis of plantar fasciitis is clinical and takes into account the particularities of the symptoms and risk factors. X-rays and ultrasound exams can be useful to establish the differential diagnosis with heel spurs (a bony protuberance that grows at the base or behind the calcaneus bone), metatarsalgia (pain in the bones that articulate with the phalanges), posterior tibial tendonitis and bone microfractures. TREATMENT The goal of treating plantar fasciitis is to reduce inflammation, relieve pain and enable the patient to resume their daily activities. Most people with plantar fasciitis benefit from conservative treatment, which includes rest, application of ice to the area, and physiotherapy sessions to promote the stretching of structures such as the plantar fascia itself, the Achilles tendon, and the calf muscles. The use of orthopedic insoles to better distribute body weight on the feet and nighttime orthoses to prevent arch shortening and keep the plantar fascia stretched at night are non-pharmacological resources that can be beneficial.