Foot & Ankle Frequently Asked Questions

FOOT & ANKLE

What can I do for a sprained ankle?

First, you should be evaluated by a doctor, trainer or other health care provider to be sure that you haven't suffered more than just a sprain. There may be a role for ankle bracing depending on the extent of your injury. Crutches are needed until you can walk comfortably without a limp. Lastly, you need to begin a rehabilitation program, ideally with a physical therapist or trainer (Ankle Sprain Recovery Protocol).

What is Plantar Fasciitis?

This is a very common condition that affects people of all ages. People usually complain that their heel hurts when getting out of bed in the morning, or after sitting a long time. Occasionally it feels as if there is a nail driven into your heel or a burning pain about the heel. Some people have these symptoms for months before they see a doctor.

What causes Plantar Fasciitis?

Certain conditions may aggravate this heel pain. They include: recent weight gain, an increase in activity (such as increasing mileage with running), walking or running on hard surfaces, wearing shoes that have poor support, or wearing worn-out shoes. 

Is it a heel spur?

The heel pain is caused by inflammation of the plantar fascia. This fascia attaches to the heel, and occasionally a bone spur is seen on x-ray. This bone spur is only associated  with the inflammation and is not the cause of the pain.

 

What is the best treatment?

Treatment is directed to decreasing the inflammation and protecting the heel. This includes:

1. Nonsteroidal anti-inflammatory drugs (NSAID'S) 
2. Ice 
3. Night splinting 
4. Orthotic devices (heel pads, heel cups, arch supports) 
5. Stretching of the plantar fascia, the Achilles tendon and Hamstring tendons (Daily Exercise Routine)
6. Appropriate shoes with supportive heels and soft soles 
7. Short leg walking cast for 4-6 weeks

Approximately 90% of patients will have resolution of their symptoms with this treatment. Very rarely will a cortisone injection or surgery be necessary. Plantar fasciitis is like bursitis of the shoulder, and it may take up to one year to resolve. Don't get discouraged or impatient; you will get better. Like bursitis, it may flair up from time to time, requiring treatment. After your initial visit, we will see you in 6-8 weeks to reassess our therapy. 

Are there exercises that can help with Plantar fasciitis?

Yes, there are.  Go to the Daily Exercise Routine for a full description and illustration of the exercises you should be doing.

Are there exercises for other foot and toe conditions that I can do?

Check out the exercises for Foot Fitness.