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The name Plantar Fasciitis, is a misnomer as it is not the structure that spans the arch and is stretched with arch collapse during function. There is no such anatomical structure described as the Plantar Faschia often used outside of medical literature. A more correct name for this condition would be Inflammation of the Plantar Aponeurosis
Mild cases are controlled simply by rest, anti-inflammatory med., good shoes or over the counter insoles, and most of all a decrease in walking and standing.
Moderate cases require more more aggressive treatment to relieve symptoms. These patients experience pain for months or years, even when activity is minimized. Prescription or over the counter orthotics are frequently recommended and often used by the patient’s during all weight bearing activity. This type of treatment along with regular use of anti-inflammatory med. and occasional cortisone injections, and decreased ambulatory activity, will resolve a significant percentage of these cases.
Severe cases of this common and occasionally disabling medical condition do not respond to the above treatments and frequently go on to Surgery, where the Plantar Aponeurosis is detached from its attachment to the Calcaneous. Aggressive treatment with higher levels of angular correction (Theta) found only in Theta-Orthotics WILL control foot function and STOP the CHRONIC PAIN.
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