Chiropractic and plantar fasciitis

Chiropractic and plantar fasciitisThe subject of this article concerns a fairly common condition called plantar fasciitis. I received the question of whether this condition could be treated in chiropractic. Well yes, chiropractic may be effective in treating this condition.

First, what is a plantar fasciitis? This is actually an irritation of a ligament (fascia, hence the name fasciitis) located under the foot (in the arch of the foot). The fascia attaches on a small area of the heel bone and then expand and attaches again under all the toes. When there is an irritation of the fascia, pain is usually felt under the heel. The pain is particularly intense after a prolonged period of immobility, such as getting out of bed in the morning. Patients often feel like if they have a needle under their heel. It may happen that the pain is also felt in the arch of the foot or on the sides of the heel. Generally, pain decreases as the fascia is warming up (ex: walking for a few minutes).

Causes of plantar fasciitis are numerous. For example, prolonged walking on a hard surface, wearing shoes that do not have a good support (ex: high heels), mechanical problems of the foot, ankle, knee and even the pelvis, excess weight, etc.

If the plantar fasciitis persists for an extended period, a calcium deposit can develop where the fascia attaches on the heel, thus causing a bone spur, also known as the Lenoir’s spur (épine de Lenoir).

The good news is that this condition could be improved through chiropractic care. First, a physical examination is necessary to determine the exact cause of irritation. As mentioned earlier, the problem could be limited to the foot, but it is also possible that an imbalance of the pelvis causes the irritation of fascia (caused by the difference of weight on each foot). Your chiropractor will be able to assess the problem. Once the origin of the problem established, chiropractic treatment usually consists of restoring the proper mechanical function of the pelvis, knees, ankles and feet. Muscle techniques are used to reduce the tension in the fascia. Your chiropractor will also be able to give you exercises to do at home in order to help the fascia regain more flexibility. For example, you can massage the fascia by placing a tennis ball on the floor and roll your foot on it. Stretching the muscles of the leg and foot are also necessary to treat the condition. If your chiropractor believes that orthotics might help you resolve the condition, he could refer you to a podiatrist for custom foot orthotics. Applying ice under the foot could also help reduce the inflammation of the fascia.

Typically, this condition responds well to chiropractic care. In the event that the results would be limited to conservative care, other interventions are possible. For example, taking anti-inflammatory or having injections in the foot could be considered (a consultation with your medical doctor will be necessary).

If you suffer from this condition, consult a chiropractor today. Not only the condition might take less time to treat, but you will also prevent the irritation of other related structures such as your knees or even your back.

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Chiropractic care, not only for back pain

Chiropractic care, not only for back pain

Chiropractic care is useful for a lot more than just back pain. In fact, the chiropractor is trained to improve the movement of any joint of your body. Here’s an example of a real patient I have seen at the office.

This patient consulted me because of a right foot pain. Two years before, that patient fell on the ice and broke his right ankle. The fracture was bad enough that it required a surgery to install some screws and metal pieces to stabilize the bones. After the surgery, the patient did some physiotherapy treatments in order to improve the strength and flexibility of his ankle. However, the foot pain persists. Sometimes, the pain was intense enough that he would start limping.

In my initial exam with this patient, I evaluated the movement of all the bones in the foot. I noticed that the movement of one of those bones, the cuboid, was particularly restricted. Thus, I performed chiropractic treatments on the cuboid in order to improve the movement. Immediately after the first treatment, the foot pain decreased of 50%. After the first week of treatment, the limping was almost totally gone. For the first time in two years, the patient was able to walk for a few hours without having to sit down.

This is a typical example of what chiropractic care can do for a condition other than back pain. In this case, the patient fractured his ankle but probably affected the normal movement of the other bones in his ankle and his foot.

If you have pain or discomforts affecting areas other than your back, don’t hesitate to consult a doctor of chiropractic. The chiropractor is trained to treat conditions affecting the hips, knees, ankles, feet, shoulder, elbows, wrist, etc.