The foot possesses over 30 joints. These joints are held together by groups of connective tissues. One type of connective tissue that holds the joints of the foot together are ligaments. Ligaments are made of collagen and attach bone to bone. On the outside side of the ankle, are three major ligaments, and there are several more ligaments on the inside of the ankle joint. These ligaments extend into the foot and are crucial in defining the range of motion of the foot. Ligaments in the foot include the plantar calcaneonavicular ligament, the deltoid ligament, the long plantar ligament, and the plantar calcaneocuboid.
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Plantar Fasciitis typically occurs when the plantar fascia becomes overstretched or overused. This condition often effects men, 40-70 years old, and is one of the common causes of foot pain.
The first line of treatment for Plantar Fasciitis is to avoid the activities and positions that cause any pain. Your pain specialist can evaluate your foot with a physical exam. This will allow him/her to diagnose whether or not it is Plantar Fasciitis and to determine a course of treatment. This condition can often be treated by non-surgical means, however, in severe cases, surgery may be needed. Surgery is normally required to release the tissue if it becomes too tight for regular interventions to be successful.
Procedures that your physician may recommend and perform may include:
Most people recover full function following a course of conservative care that includes pain relief and possible physical therapy. It is important that once the pain is reduced, and range of motion and strength are restored, the patient gradually return to daily activities.
Instruction in daily activities or sports will be given by your pain management specialist, for reducing the re-occurrence of Plantar Fasciitis. Non-surgical methods are typically effective and reduce the pain associated with this condition. Treatment can take several months before symptoms improve.
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