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By Angela Briggs


There are a number of available options for plantar fasciitis treatment san francisco residents can consider if they hope to get rid of this problem. The treatments are focussed on a number of objectives that include, among others, pain reduction. The pain is said to be worst in the first few hours after waking up and improves as the day progresses. It may incapacitate the patient significantly if not properly taken care of. Another major objective is the restoration of function.

The condition is quite common and you do not need to panic. There is a particularly high incidence among athletes who subject their planter fascia to repeated strain and tearing and consequently results in inflammation. The planter fascia is a band of tough tissue that covers the foot and spans from the heel to the toes. Other groups of persons in whom it is also common include the obese, pregnant women and persons that use improper footwear. On average it occurs between ages 40 and 60.

It is important for the affected individual to seek treatment as soon as possible. Early intervention has been associated with better response to therapy compared to those who seek treatment when the condition has already progressed. One of the conservative approaches that can be used is to have adequate rest and to restrict movement. Affected individuals should as much as possible avoid walking on hard surface such as concrete. Severe pain may be relieved by use of ice packs.

Conservative management has been shown to be quite affective and there is rarely a need for surgery. With proper adherence to the prescribed treatment, close to 90% of people recover fully within one year. These options are either used either singly or in combination depending on the severity of symptoms and the individual patient response. A small number of them, about 5%, need to surgical intervention. The general recommendation is that conservative means should be tried first before moving on to the invasive ones.

Non-steroidal anti-inflammatory drugs, NSAIDS are used for pain relief but the effects vary from one person to another. The effect is often short term which means that they have to be taken frequently. As a result some of the patients may suffer from the adverse effects of these drugs that include, among others, peptic ulcer disease and renal disease. Commonly used options in this category include aspirin, naproxen and ibuprofen. These drugs are available as pills and creams that can be applied over the affected area.

Since improper shoe wear is one of the aggravating factors, there is need to change the same. The shoes chosen should be good in shock absorption and must have the right arch support. It is important to ensure that shoes chosen are well cushioned to reduce the strain on the pressure point areas. Shoe inserts, orthotics help a great deal in cushioning the heel. These should be used for both feet regardless of whether only one or both feet are involved.

Physical exercise is a very important part of management. All that is needed is a few simple routines every day starting early in the morning. The exercises are mainly stretches of toes and calves. This serves to increase the flexibility of ligaments and the arches of the feet.

If they are having plantar fasciitis treatment san francisco residents need to know that response to therapy is not uniform. There is significant variability from one person to another. The important thing to do is to ensure that they visit their doctors on a regular basis to check on the progress.




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