Plantar Myofascitis


Plantar myofascitis refers to pain on the sole of the foot. Do you have it? Is lower leg frustrating your daily walk? Chiropractic help is for you.


Foot pain

Foot pain is a nasty malaise far beyond the local affects; anything that makes you walk more slowly, research shows, will reduce the length of your life.

It's the sole that usually hurts with plantar myofascitis. It may be worse when you stand bare foot, especially first thing in the morning.

Pain usually occurs on the underside of the foot, near the spot where your heel and arch meet, but in fact can occur anywhere along the under side of au pied. The pain may refer towards the toes.

What's interesting is that patients usually discover inadvertently that chiropractic help is also for foot pain. They consult us for LBP, perhaps, or headaches, or even unrelated tingling in hands and fingers; in passing, the DC asks about other conditions that may be affecting their health and well being.

Quite often even then, patients, not expecting a chiropractor might treat foot pain, only raise the subject when they see a model of the foot prominently displayed, or posters on the wall.



What then is the plantar fascia? It consists of a complex band of fibres which run from the calcaneus, or heel bone to the base of the toes. A myofascitis occurs when these tissues are irritated and become inflamed. Bony spurs may form on the heel at the attachment of the plantar fascia if this condition is not correctly treated.

This heel spur forms where the plantar fascia attaches to the heel, in response to the plantar fascia’s increased tug on the heel bone.

It's a condition that tends to respond poorly to traditional treatment. The pain and muscular dysfunction can seriously affect the normal life of an individual, but in an athlete it’s a disaster in both training and racing performance.

And, because how fast you can and do walk directly affects longevity, it really is a serious problem. Serious enough to actually shorten your life.

Conventional therapy without surgery usually requires six weeks to three months. In contrast, with the appropriate chiropractic treatment it often resolves within a few weeks. If it's chronic, then an occasional regular treatment may be necessary.

Heel spur

Heel spur is characterised by severe pain, often worst first thing in the morning. What's odd is that it's very treatable with chiropractic help, but the offending spike of bone is still there after the pain is gone; it's one of the causes of plantar myofascitis.



Ankle joint

Ankle joint fixations are the main cause in the opinion of chiropractic help; however others have been identified.

Plantar myofascitis makes walking misery and an end to golf and the countryside.

What causes this painful condition on the sole of the foot?

  • Improper warm up by athletes and hikers alike,
  • fixations in one or more foot joints especially the calcaneus and cuboid,
  • over pronation of the ankle,
  • a tight calf muscle and achilles tendon,
  • a high arched foot,
  • flat feet,
  • an imbalance in the pelvis, especially in the sacroiliac joints or the hip joint
  • a short leg or
  • a sudden increase in training mileage all may cause plantar fascitis.

There are also certainly other causes in the knee, hip and lower leg. There is no substitute for a thorough examination to discover where it's emanting from. Another, is your weight; are you significantly overweight and want to walk to lose pounds, but can't because of foot pain?

Consider first then our free weight loss programs. Just getting five to ten pounds off would be a great start to helping your foot cope.

Long distance walking, running and cycling, or just standing can overwork these muscles. As they are chronically stressed, they start to shorten causing this nasty condition of the foot called plantar myofascitis.



When a muscle shortens, it is less resilient and is more easily damaged, and becomes painful. This applies equally for example to the rotator cuff in the shoulder, just as it would in the foot. 

It may also develop years after a poorly managed ankle sprain that permanently changed your gait; the way you walk. The body compensates by trying to strengthen the attachment for muscles now undergoing undue stress.

For more about the chiropractic ankle sprain treatment, use the search function at our site.

Heel spurs, the attachment of the plantar fascia to the heel bone, may be a part of the problem.

Heel spurs are relatively uncommon in young people. If you are less than thirty five say, and have bony growth seen on xrays in both feet, and a stiff lower back, then ask for a test for a relatively uncommon but potentially serious condition called ankylosing spondylitis.

That spur is under the heel, or calcaneus bone.

A positive test for the presence of the offending gene does not mean that you definitely have the disease; but you are at risk and must make the correct dietary changes, and exercise regularly; otherwise your spine may become as stiff as bamboo.

It's controversial but I add what can only be described as an opinion. Ankylosing spondylitis usually goes for the sacroiliac joints. I have treated numerous cases over the years and they've responded well to chiropractic if caught in the early stages. Allowed to become chronic it turns into what is known as bamboo spine. Healthy living, plenty of exercise and a diet high in omega 3 is vital. Your doctor may try to convince you that you are wasting your time and money.



Specific chiropractic treatment has been shown to be very effective in the treatment of plantar myofascitis, restoring unimpeded motion and function to the ankle and foot joints; the subtalar, cuboid and cuneiforms are often the spoke in the wheel. 

Chiropractors interested in the foot excel in the treatment of this problem because they look at the whole kinematic chain; the sacroiliac joints, the hips, the knees, the feet and so on.

While it is not adequately researched, there is a suggestion that a night splint which pulls on the plantar fascia may help. Ankle exercises and stretches of the calf muscles and the arch of the foot are extremely important.

These must be done on a regular basis, especially first thing in the morning; it's best done barefoot, with a cushion or carpet under the heel and the toes on the plinth.


Place the toes against a plinth (BARE FOOT), lean forward keeping the heel on the ground until a stretch can be felt along the length of the foot and calf.

Reduced training may be important for an athlete in the acute phase. Icing of the sole is much safer than anti-inflammatory pills. Use an ice-block directly over the painful area, and follow it with moist heat. Do it, repeating several times, in the bath.

Weight loss may be appropriate. Smoking aggravates the healing of all such conditions - it reduces the oxygen in the blood, vital for healing.

If you are suffering from heel pain such as plantar fasciitis, check out the only heel seat on the market today that has an acupressure bar imbedded in the heel seat to help relieve the pain by stretching the fascia tendon with every step you take.




MORE ABOUT FOOT PAIN

If the pain runs to the ball of the foot, then you may have a condition called Metatarsalgia that is a frequent cause of foot pain. Neglected it leads to a nasty called Mortons neuroma. Prevention is better .. and plantar myofascitis may be in the differential diagnosis.


Useful links @ Plantar myofascitis

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Bilateral Paraethesia in feet 
Good morning.... please help. Following a period of 4 weeks in bed due to an infection in September 2014 I now have CONSTANT bilateral nerve pain in my …

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On Jan 14, 2015, I was getting into the back seat of the car. The car began rolling, stretching my legs apart like the splits. The next day, I was walking …

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Foot Pain and foot drop from broken femur. Three weeks ago my wife broke her femur skiing. It was a compound fracture and protruded out her leg. Now …

I have a bone spur quite large extending under heel and to the upper back side of the heel Not rated yet
What can be done about it, it causes me to walk with a limp due to the pain of normal standing and walking. The podiatrist says it will need and operation …

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.



Have a problem that's not getting better? Looking for a different slant on your pain? Want to pose a question?


Interesting questions from visitors

CLS writes:

Greetings, Dr B.
You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.

Your own unresolved problem. Pose a question

Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.


You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what chiropractors do.

The quickest and most interesting way is to read one of my ebooks of anecdotes. Described by a reader as gems, both funny and healthful, from the life and work of a chiropractor, you'll love them. Priced right at $2.99, though Kindle fiddles the price without telling me.

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