Heel pain – Adult (Plantar “fasciitis”)
Why does the plantar fascia develop micro-ruptures?
What is the source of plantar fascia strain?
The problem is that when a physician orders x-rays of a person’s foot with heel pain, they are just making sure that there isn’t a broken heel bone. They are also looking to see if the heel spur is present. The focus is on the bottom of the heel where the plantar fascia attaches to the heel.
The source of the plantar fascia strain starts with the partial dislocation of the ankle bone on the heel bone. The ankle bone dislocates downward, forward, and inward pushing the bones of the forefoot away from the heel bone.
Let’s take a closer look:
Now let’s see what’s happening on the outside of the foot.
Ankle bone dislocation has been occurring since childhood. In a 10-year time-frame, the average person will take over 18 million steps. In other words, the plantar fascia is being over-stretched 18 million times. Fast forward to the day when someone reaches their 40th birthday – at that point, the average person has taken over 72 million steps. Guess what the average age is when someone develops plantar fasciitis? Yep, they are around forty years old.
What is the best form of treatment of chronic heel pain?
Unfortunately, many people are taken to the operating room to have the plantar fascia detached from the heel bone, plantar fasciotomy. This was thought to eliminate the pain but this is not always the case. Many published articles show that individuals still have pain after surgery. Even worse are the aftereffects of cutting the most powerful stabilizer of the arch. The ankle bone instability is still present exerting its strain on the foot. Other tissues will have an even greater amount of strain placed on them, specifically the posterior tibial tendon. Eventually, the foot/arch continues to collapse until it completely flattens.
The best choice of treatment, if it is an option, is to internally stabilize the ankle bone with HyProCure. This is the ONLY treatment option that has been proven to decrease the strain on the plantar fascia while still allowing a natural ankle bone motion (DOI: 10.1053/j.jfas.2011.07.005). The plantar fascia strain is eliminated/reduced immediately and is left intact. Hopefully, the damaged fibers will heal, and the plantar fascia will be able to resume its job of stabilizing the arch of the foot. Before having your fascia detached from the heel, see if you are a candidate for HyProCure.