{"id":8089,"date":"2022-07-22T16:29:49","date_gmt":"2022-07-22T15:29:49","guid":{"rendered":"https:\/\/internationalhealthcentres.com\/en1\/services\/shoulder-protocol-copy\/"},"modified":"2022-07-28T16:14:13","modified_gmt":"2022-07-28T15:14:13","slug":"fasciitis-plantaris-and-heelspur","status":"publish","type":"page","link":"https:\/\/internationalhealthcentres.com\/en\/services\/fasciitis-plantaris-and-heelspur\/","title":{"rendered":"Fasciitis plantaris and Heelspur"},"content":{"rendered":"
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These terms seem to be very different, but are closely related to one another. They actually produce similar symptoms in the foot.
\nThis article is about the origin and treatment.<\/p>\n

First the anatomy:
\nThe foot contains multiple bones, connected by ligaments, capsules and muscles. Together they form arches, medially and at the front of the foot. A footprint shows a zone where there is no pressure.<\/p>\n

The medial arch differs per person: some have \u2018a high arch\u2019; others develop throughout life a flat foot. The cause can be genetically, but often the cause is shoes, sport or a (standing) profession.<\/p>\n

By continuous overexertion an inflammation can occur at the insertion of the tendon: fasciitis plantaris. This tendon takes care of the medial foot arch.<\/p>\n

As with many inflammations, swelling and pain will exist (especially in the morning!), and you will walk differently. This process is reversible, but the cause remains: the falling arch.<\/p>\n

It is important to differentiate the condition of the fascia. Often, an inflammation (fasciitis) is confused with a deteriorated quality of the fascia. (tendinopathy). The difference can be made visible with an ultrasound scan.<\/p>\n

If the stretch of the fascia is prolonged, an extra piece of bone will develop at the insertion of the heel: the heel spur. This is the end stage of a long process and not easy to fix.<\/p>\n

Thus, it is important not to get into that phase.<\/p>\n

There are several options to consider:<\/p>\n

    \n
  1. The cause has to be managed. A custom made insole is necessary to treat the flatted foot. This has to be worn always<\/strong>!<\/li>\n
  2. Shockwave is the state-of-the-art treatment. This is an intense way of treating where the tendon gets hit by a high intensity of kinetic energy (\u2018sonic boom\u2019). This creates new tissue and destroys nerve endings (see image 1 below).<\/li>\n
  3. A silicon heel in the shoe avoids pressure at the insertion (see image 2 below).<\/li>\n
  4. Cortisones and surgery are not to be advised, they give too many side effects.<\/li>\n<\/ol>\n
    \u00a0Best advice: Be on time!<\/div>\n

    If you notice morning pains or pain after exertion, go to a podologist for insoles, and to a specialized physiotherapist for an ultrasounds scan and shockwave treatment.<\/p>\n<\/div>\n<\/div><\/div><\/div>

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    If you would like more information, please contact Bernard Vrijaldenhoven (mob. 91 847 6000) or the International Health Centres in Albufeira (Tel. 289 588 923)<\/p>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"

    These terms seem to be very different, but are closely related to one another. They actually produce similar symptoms in the foot.
    \nThis article is about the origin and treatment. <\/p>\n","protected":false},"author":1,"featured_media":8091,"parent":110,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-8089","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/internationalhealthcentres.com\/en\/wp-json\/wp\/v2\/pages\/8089","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/internationalhealthcentres.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/internationalhealthcentres.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/internationalhealthcentres.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/internationalhealthcentres.com\/en\/wp-json\/wp\/v2\/comments?post=8089"}],"version-history":[{"count":0,"href":"https:\/\/internationalhealthcentres.com\/en\/wp-json\/wp\/v2\/pages\/8089\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/internationalhealthcentres.com\/en\/wp-json\/wp\/v2\/pages\/110"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/internationalhealthcentres.com\/en\/wp-json\/wp\/v2\/media\/8091"}],"wp:attachment":[{"href":"https:\/\/internationalhealthcentres.com\/en\/wp-json\/wp\/v2\/media?parent=8089"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}