Plantar fasciitis or plantar fasciitis It is one of the most common musculoskeletal diseases. It is usually caused by chronic inflammation of the plantar fascia. The plantar fascia is part of the normal structure of the foot. It is a common musculoskeletal disease. It is usually caused by chronic inflammation of the plantar fascia. It is part of the normal structure of the foot that extends from the heel bone to the sole of the foot. Then it sticks to the toe bone. This fascia helps distribute weight properly across the soles of the feet while standing or walking. Heel spurs are most common among people who are overweight, runners, or middle-aged people. Typical symptoms of heel spurs are pain, stiffness, or pain similar to having a sharp object stabbed in the heel. Most often, the pain occurs on one foot, but sometimes it can occur on both feet. The pain is worse in the morning after waking up and taking the first 2-3 steps, then the pain will subside. If you walk for a while Then the pain can occur again if there is a daily routine that requires standing or walking for long periods of time. or pain when standing up after sitting for a long period of time Causes of plantar fasciitis or plantar fasciitis. At present, it is still not possible to determine the exact cause of plantar fasciitis. One possible hypothesis is As the feet support the weight of the body, such as while standing, walking, or running, there is continuous or excessive weight on the soles of the feet. As a result, the plantar fascia is suddenly stretched. This mechanism, if repeated, will result in injury to the plantar fascia. This results in chronic inflammation. Age is one of the risk factors for chronic inflammation. It is often found in people aged 40 to 60 years, especially in groups with activities or exercises that require constant weight on the heel, such as running or dancing, etc. Flat feet. People with flat feet can cause the plantar fascia to be continually stretched more than normal. This results when standing or walking for a long time. The plantar fascia can become injured and become chronically inflamed. Overweight Body weight causes increased pressure on the plantar fascia, causing plantar fasciitis. If plantar fasciitis is not treated, it may result in increased pain in the soles of the feet. This pain may affect daily life or work. Diagnosis Your doctor may need to take a history and perform a physical examination. Especially the location of the pain nature of pain Activities that cause more pain and activities that cause less pain Then do a physical examination by looking at the shape of your feet, moving your feet, and feeling to find the location of the sore points and treating the fascia under the feet. In most cases, thrush can be treated with medication. exercise behavior modification physical therapy Shock wave therapy and injections, medicines that can be taken such as paracetamol or NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen, naproxen, meloxicam (Mo) Bic) Celecoxib (Celebrex) and Etoricoxib (Arcoxia) can help relieve pain from phlebitis. However, they should only be taken for a short period of time. This is because oral medicine may have side effects on the kidneys, liver, stomach, or heart and may cause drug allergies in some patients. In addition, there may be topical medicine. (Cream or gel) such as diclofenac gel (difeline gel) is safer than oral medications and can relieve pain. Exercise for pain relief from phlebitis. It is to stretch the fascia area under the feet. Achilles tendon and calf muscles, behavior modification such as choosing the right shoes Avoid wearing worn-out shoes. Thin or hard soles Change shoes to a size that matches the length and width of your feet. Comfortable material There is an arch to support the arch of the foot. And the shoe soles absorb the impact of the soles of the feet well while walking or exercising. Avoid walking barefoot. If you have pain from chronic bruising. You should avoid walking barefoot both indoors and outdoors. Keep your body weight within reasonable limits. Increased body weight risks increasing pressure on the plantar fascia. which leads to secondary disease Weight should be controlled by diet and aerobic exercise that does not impact the soles of the feet, such as walking, exercising using an elliptical trainer (elliptical training), swimming and cycling, etc. Avoid exercise. that exert high pressure on the soles of the feet, such as fast running, dancing with fast foot movements, tennis, badminton, basketball, football, etc. There may be accessories to help relieve foot pain, such as heel cushions to reduce impact on the soles of the feet and increase comfort while standing or walking. You may consider using it for only a short period of time. While still having foot pain Inner foot support device To loosen the fascia under the feet so that they are not too tight. As a result, the plantar fascia has proper flexibility. Ready to absorb shock while standing or walking. Insole. Your doctor may recommend insoles that are appropriate for your foot shape to relieve pain. You may consider ready-made shoe inserts that are commonly sold. In some patients the doctor sees fit. Individually tailored insoles may be considered. So that the cut shoe inserts are suitable and have a shape that fits the shape of the patient’s feet. This results in proper weight distribution across the soles of the feet. Reducing foot pain while standing or walking. Foot support for wearing at night. While sleeping, the body relaxes causing the ankle to drop, which in turn causes the plantar fascia to contract. When waking up and walking The plantar fascia can be stretched acutely, resulting in pain. A foot brace to wear at night will help keep your ankle from falling out. As a result, the plantar fascia is properly stretched at all times. As a result, morning pain can be prevented. In some patients, physical therapy may be required to reduce pain from plantar fasciitis using tools such as warm compresses and ultrasound waves for treatment. Treatment with shock wave equipment or shock wave (Extracorporeal shock wave therapy) to stimulate the plantar fascia tissue to cause the process of repairing and rebuilding the tissue. As a result, it can reduce the tension in the fascia caused by chronic inflammation. This allows patients to relieve pain from secondary diseases. Click to read more about the “Smart Life” column.
