Lithotripsy For Plantar Fasciitis: Best Treatment Heel Treatment?
Lithotripsy of the Plantar Fasciitis is a new technique that normally had to be done in the operating room. Is it 100% Effective? NO but it does work!
Plantar Fasciitis Overview:
- To find out if your foot and heel pain can benefit from Lithotripsy, let’s find out if you have Plantar Fasciitis.
- Plantar Fasciitis is the most common cause of heel pain. It occurs when the Plantar Fascia tissue is pulled and is irritated and inflammed.
- The Plantar Fascia is the flat ligament located at the bottom of the foot. This ligament connects the toes to your heel.
- Plantar Fasciits is common amoung people 40-60 years of age, flat-footed people as well as athletes and people who are on their feet for many long hours.
- The easiest way to know if you have Plantar Fasciitis and whether or not Lithotripsy can help you is to check how your feet feel in the morning.
- If the first few steps that you take in the morning are very painful, then it is probable that you have Plantar Fasciitis.
- The Plantar Fasciitis pain feels like stabbing at the bottom of the foot and is at its worst in the first few steps in the morning.
- Long periods of walking and standing and even exercising can trigger the pain.
Specific symptoms of plantar fasciitis include:
- Pain in the morning when you wake up.
- Delayed onset muscle soreness after resting for a long period of time.
- Pain after getting up and moving while sitting on the couch.
- Pain while driving in the heel.
- Worsening pain as you stand during the day on hard surfaces.
- Worsening pain while standing barefoot.
- Worsening pain with un-supportive shoes.
- Numbness burning and tingling in the heel.
- Sore achy throbbing in the heel that gets worse while standing during the day.
The most common causes of plantar fasciitis are:
- Can Lithotripsy be for you? Pulling the Plantar Fascis constantly leads to the development of Plantar Fasciitis.
- You can think of the Plantar Fascia as the shock-absorber of the foot.
- The more pulled, or strained this ligament is, the more likely it is to develop full blown Plantar Fasciitis.
The following factors increase the likelihood of the development of Plantar Fasciitis:
- Walking or running excessively, especially on a hard surface.
- Having high arches or flat feet.
- Obesity or being overweight.
- Wearing ill-fitting shoes.
- Having high calfs or a high Achilles tendons.
Treatment of Plantar Fasciitis:
Lithotripsy of Plantar Fasciitis:
Lithotripsy is a new treatment of Plantar Fasciitis. This is also known as extra corporeal shockwave therapy (ESWT).
- Traditionally, lithotropsy is used in urology in order to break kidney stones in order to avoid a surgical intervention and damage to the kidneys.
- Sometimes, we refer to Lithotripsy for the treatment of Plantar Fasciitis as Osseo-Tripsy.
- In Lithotripsy for the treatment of Plantar Fasciitis, the technician delivers high energy shock waves to the affected tendon.
- This often is painful but can be done with minimal sedation.
- The section below outlines the advantage and the disadvantages of this procedure.
Advantages of Lithotripsy:
- This procedure is performed with minimal sedation.
- The person is able to walk on the treated foot on the same day of treatment.
- Lithotripsy has minimal complications.
- It is non-invasive and it risks minimal tissue damage.
Disadvantages of lithotripsy:
- It might be painful.
- It can feel like you worked out the heel a little too strongly the night before.
- It is not completely effective every time.
Best Heel Pain Products:
- There are usually two phases to treating plantar fasciitis pain.
- The two phases of treatment include controlling the acute inflammation, and correcting the biomechanics which led to the problem in the first place.
- If the tendons and ligaments are inflamed, they are almost frozen in place and cannot function properly.
- Once the inflammation is decreased, we need to correct the bio-mechanical causes to ensure that they can never become over worked and inflamed again!
- This doesn’t matter whether it’s plantar fasciitis, plantar fibroma, sore bottom of foot, or even Achilles tendon pain. Treatment is all roughly very similar.
Plantar Fasciitis or Achilles Tendonitis Inflammation:
Massage & Ice Products:
- Ice is the an excellent option that can be safe for almost everyone.
- There is some debate whether icing is worth doing, but for chronic pain this can help limit the need for medications and keep your options open.
- This works great for your arch, less for the ball of the foot.
- The more muscle and ligament tissue there is, the better ice will work there.
Menthol Based Gels:
- Biofreeze is one of our favorites.
- These gels have been studied to work 2x as long as ice.
- This works great for the ball of the foot.
- This can be very effective for bottom of the heel and Achilles tendon sore regions.
- These can work great for loosening your muscles.
- This allows less tightness and pressure on the ball of your foot.
- This is very effective for the arch, the gastrocnemius or calf muscle and for the hamstring and thigh muscles.
- This also works very well for the gluteus muscles if you are having butt cheek or hip pain.
Remove the Plantar Fascia or Achilles Tendon Stress:
- The key is to prevent future pain.
- This means keeping you active while keeping stress off of your plantar fascia tendon. This will prevent future re-injury and development of plantar fasciitis.
- If you can get rid of the pain and swelling, this will let you start walking normally.
- If you can walk normally, the vast majority of your pain should gradually start to go away.
- The best way to ensure that your plantar fascia, foot and ankle ligaments are not overworked is to support them.
- The best way to support them is to use great orthotics and great shoes.
- Some people may also need to rely on supportive ankle braces and other supportive modalities.
The Best Heel Pain & Plantar Fasciitis Shoes:
- Getting a great supportive pair of shoes will make sure that there is pressure removed from the heel and plantar fascia region.
- This is especially important if you have plantar fasciitis, heel spur pain or Achilles tendonitis.
- Consider shoes combined with a good supportive orthotic for best pain relief!
- The following link will show you what our favorites are.
Best Heel Pain & Plantar Fasciitis Orthotics:
- These are our recommended orthotics for plantar fasciitis.
- Custom orthotics can work very well, but they should not be a first line of treatment.
- There are different types for different shoes.
- Women’s shoes usually need a less bulky orthotic, but allow for less correction.
- A full length orthotic requires a running shoe, boot or comfortable walking/dress shoe.
- We recommend doing everything you can to get a good supportive shoe that can fit a full length orthotic.
- This is the best way to maximize your orthotics for great results.
Best Full Length Orthotics:
- These will only work in wider shoes or a good supportive running shoe.
- This will not work in sandals, flats or most women’s dress shoes.
Best Dress Shoe Orthotics:
- These are a great choice for dress orthotics.
Best 3/4 Length Orthotics:
- These are great options for women’s dress shoes and thinner shoes.
- These are not the most supportive pair of orthotics.
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Get A Great Dynamic Stretch:
- It is possible to stretch on your own, but these products can also really help!
- This will take pressure off of the ball of your foot.
- We personally prefer this method of stretching.
Get A Great Static Stretch:
- These devices are great for stretching while you are resting.
- This will also help take pressure off of the ball of your foot.
- This works great for plantar fasciitis.
- It can be used while watching TV or at night time.
Best Heel Compression Brace:
- A good compression brace can stabilize your foot from turning outward.
- This prevents your foot from pronated.
- Pronated foot will turn your foot outward in your foot will rub on the outside of the shoe.
- For many of her patients this has solved their pain and is very comfortable to wear inside your shoe.
- This solves both pain and outward pronation for a relatively low cost.
Best Heel Stability Brace:
- Stability brace goes little bit further than the compression brace to stop your foot from turning out.
- This takes pressure off of your heel and plantar fascia.
- At the same time this is a little bit bulkier and does not affect every shoe.
- We find people are little bit happier trying the compression brace before the stability brace.
- If you think you might have a broken heel, a calcaneal stress fracture or something of similar severity, these products might help!
- Always remember to see a foot and ankle specialist like a podiatrist if you are having plantar fasciitis or more severe pain!
Plantar Fascia Tear, Broken Heel Bone, Achilles Tendon Tear:
- If you have a traumatic injury such as a torn plantar fascia ligament, calcaneus stress fracture, heel fracture or insertional Achilles tendon injury: consider protecting your foot!
- The best way to do this is of course to see your podiatrist and get evaluated with an x-ray, ultrasound and potentially even an MRI or CT scan.
- If you are unable to do so it may benefit you to be in a cast, fractured boot, or even keep the weight off of it with a rolling knee scooter or other protective devices.
- We as podiatrists frequently take patients off work for very long period of time when they suffer a traumatic injury, unfortunately there is no other way around us in labor jobs.
- If you have a sit down job there are ways to get people back to work quicker, but this can be very difficult otherwise.
Heel Injury Boot Treatment:
- There are pros and cons to using a boot to treat your heel injury. If you are immobilized too long the cons are that you will gradually become stiff and overworked to your other leg. The Pros are that you injured heel will hopefully have a chance to gradually heal!
- Our favorite fracture boots and their supplies:
Offloading and Scooter treatment:
- These are favorite knee scooters and walking devices: