Foot is the base of the human body, like the foundation of a house, if the foundation is unstable, it will cause poor structure of the house. The plantar fascia is like a fan-shaped soft tissue, which is located in the fascia between the metatarsal bone and the calcaneus. The main function is to maintain the height of the arch of the foot, maintain the correct gait, usually walking or running, this tissue will bear the weight of the metatarsal and calcaneus to separate the pull, and in various cases to give the movement of the required torque, elasticity and absorb the reaction force with the ground.          

Plantar fasciitis is a kind of chronic sports injury. Patients with plantar fasciitis often have biomechanical abnormalities of the foot (flat foot, valgus foot, high arch foot, hallux valgus, etc.). From the point of view of human biomechanics, excessive valgus of the foot's subtalar Joint causes the arch of the foot to be low and flat, pulling the plantar fascia and causing inflammation of the fascia. The patients with high arched feet, because the plantar fascia is tighter than the general people, lack of shock absorption effect, over the years will also be due to plantar muscle fascia fatigue and pain inflammation, serious even long calcaneal spurs (Heel Spurs).           

The main causes of plantar fasciitis are:           

Abnormal internal structure of feet due to injury or improper footwear.           

The joints of the foot are loose and the activity is increased.           

Excessive body weight causes heavier foot joint load.           

Standing and sitting for a long time causes gastronemius and hamstring (hamstrings) to be too tight.          

The heel tendon is too tight and too short.           

The heel pad decreases with age.          

_heel spurs plantar fasciitis caused by pain such as leg pain, knee pain, low back pain and so on.           

Stepping on the sharp health trail          

Sandals and slippers.          

Long standing, walking, overweight, high heels, high arch feet, flat feet, etc.          

Other diseases cause the deformation of the foot bones.           

Symptoms of plantar fasciitis:           

Pain at the bottom of the heel or anterior plantar fascia.          

Pain in medial, lateral and lateral joints between the plantar fascia and the calcaneal junction.           

Every day when you get up, the first step is the most painful. After walking for a few minutes, the pain will gradually subside. But when walking, standing or running for a long time, the pain comes out again. When sitting and resting for a while, when I get up and walk, the pain comes back again.           

_To avoid heel pain, the patient changes his walking posture by himself. The pressure on the sole of the foot is not uniform, and the exertion is improper.          

I feel the circulation of my lower extremities is bad, my muscles are too tight and my skin is cracked.           

There is excessive wear on the outside of shoes.          

Plantar fasciitis examination:          

If walking is abnormal, such as tiptoe, hallux valgus, hallux valgus, etc.          

Is there any reduction in plantar muscles and heel pads?           

The plantar fascia has the excitation point of pain (Trigger Point).          

The gastronemius and hamstring (hamstrings) have pain triggers.         

  When the thumb moves upwards, the plantar fascia feels tight and even causes pain.          

The small bones of the feet are displaced (Subluxation).           

The dislocation of knee joint, hip bone and lumbar vertebra due to the way of walking causes dislocation (Subluxation).           

Heel spurs can be seen by X- light examination, but 15% of them have long spur but no symptoms.           

MRI can detect a fracture of the heel, and a heel fracture can cause heel pain.          

Improvement of plantar fasciitis:          

Patients with plantar fasciitis should avoid stimulating exercises, standing or sitting for long periods of time.          

Using the US high-tech computer foot pressure tester to find out abnormal mechanics.           

Choosing the right size shoes, it is best to use medium tube shoes to prevent abnormal ankle joints.          

_Orthopedic insoles tailor-made to support the arch of the foot with elasticity and shock absorption (plaster for the foot film) to support the arch and muscles, reduce the pressure of foot walking, reduce inflammation and pain, avoid fascia pulling, restore the original health.            Physical therapy such as ultrasound, hydrotherapy, hyperthermia, ice compress and Extracorporeal shock wave therapy can alleviate the symptoms of discomfort.           

Chiropractic treatment: Assessment and correction of pelvic and lower extremity joints and softening of stiff muscle groups and trigger points of the lower extremity (Trigger Point).           

When you exercise, you can wear your ankle to reduce the excessive activity of the foot joints.          

The use of intramuscular patch or elastic bandage to relieve pain.          

If the heel bone spur has seriously affected walking, it must be improved by surgery.          

Every day, do stretching exercises for the lower limbs, do it every morning and evening, stretching for about 10~15 seconds each time.