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Suggest treatment for plantar fasciitis in left foot

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Posted on Fri, 29 May 2015
Question: I have plantar fasciitis in my left foot. It developed when moving many boxes, etc. from my old house to a new house. Although I continue to do extensive gardening (planting trees, shrubs, flowers on my new nearly 1-acre lot, often having to use a pickaxe to remove large tree roots from the planting hole), I no longer take long walks or rarely jog the three miles I used to. I have purchased shoe inserts from Good Feet and put that foot on ice twice a day. What else should I do to treat this condition? Should I get a night splint? Is it OK to jog on grass as long as the pain isn't too bad? How long does recovery take? I see various exercises recommended but don't know which ones are best.
doctor
Answered by Dr. Swarnava Dattagupta (2 hours later)
Brief Answer:
do alternate ice and warm compress; wear soft padded shoes

Detailed Answer:
Hello.
Welcome to HCM.
This is Dr. Swarnava Dattagupta answering your query.

I understand your concern.
Planter fascitis is inflammation of the sole of foot. It is quite common now a days. The mainstay of treatment is exercise and using soft padded shoes. Your doctor has advised you almost all to-do and not-to-do things. Not walking bare-footed is very important. Alongwith all the advices, i would duggest you the following-

Dip your foot in alternate warm and ice water for 3-4mintues each for half an hour about 3times a day.
Avoid squatting and tip-toe standing or walking.
Take aceclofenac-thiocolchicoside combination drugs for pain reduction when required.
Do planter fascia stretching exercise and ankle drill. Hamstring and quadriceps drill can also be done alongwith.
It takes 2-3 months to be okay again. But it can reappear very easily unless you continue following advices. You can start jogging after 2months if it is not painful.

Hope this was useful.
Consult me for further queries.
Regards.

Above answer was peer-reviewed by : Dr. Neel Kudchadkar
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Follow up: Dr. Swarnava Dattagupta (46 hours later)
What specific plantar fascia, ankle, hamstring and quad exercises do you recommend?
doctor
Answered by Dr. Swarnava Dattagupta (51 minutes later)
Brief Answer:
Follow as advised

Detailed Answer:
Hello.

Most important is dorsiflexion of the ankle so that it stretches the plantar fascia. You can also press your toes against ground and lift heel, thus stretching plantar fascia. Alongwith you can do bed side knee bending with ankle dorsiflexion and pressing down of the knee joint pushing back of knee against bed.
It is better if you can learn the exercises from any physical medicine doctor or physiotherapist. They can give you practical demonstration.

Wish you good health.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Swarnava Dattagupta (4 days later)
I thought you charged $15/month. Why are you charging me $18? Or does the charge go up $3/month every succeeding month?

You said not to stand on your tip toes. Then you say press your toes in the ground and lift your heel. Sounds like tip toes to me.

You sound like a scam artist. What medical school did you go to? Your English is pretty bad too. Ankle dorsiflexion? Alongwith? Pressing down of the knee joint pushing back of knee against bed? How do you press in two directions at once? Are you standing or sitting? Are you serious? Have none of these exercises been demonstrated on the internet? What's the big secret?
doctor
Answered by Dr. Swarnava Dattagupta (4 hours later)
Brief Answer:
follow as advised

Detailed Answer:
Hello.
Sorry to contradict.
I said avoid standing or walking on tiptoes. You can sit in a chair, pull your heel up and stretch plantar fascia of each foot, one at a time. That should not be difficult.
And ankle dorsiflexion means pulling your toes towards yourself. So you have to put pressure to pull at one joint and push at other i.e. knee. You can do this by sitting with your legs spread straight over bed. This is also not impossible.
You should remember that i asked you to get a demonstration from some physiotherapist, its difficult to understand otherwise for a patient.
And about payments, you should talk to administration.

Hope this explains.
Regards.
Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Swarnava Dattagupta

General & Family Physician

Practicing since :2013

Answered : 906 Questions

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Suggest treatment for plantar fasciitis in left foot

Brief Answer: do alternate ice and warm compress; wear soft padded shoes Detailed Answer: Hello. Welcome to HCM. This is Dr. Swarnava Dattagupta answering your query. I understand your concern. Planter fascitis is inflammation of the sole of foot. It is quite common now a days. The mainstay of treatment is exercise and using soft padded shoes. Your doctor has advised you almost all to-do and not-to-do things. Not walking bare-footed is very important. Alongwith all the advices, i would duggest you the following- Dip your foot in alternate warm and ice water for 3-4mintues each for half an hour about 3times a day. Avoid squatting and tip-toe standing or walking. Take aceclofenac-thiocolchicoside combination drugs for pain reduction when required. Do planter fascia stretching exercise and ankle drill. Hamstring and quadriceps drill can also be done alongwith. It takes 2-3 months to be okay again. But it can reappear very easily unless you continue following advices. You can start jogging after 2months if it is not painful. Hope this was useful. Consult me for further queries. Regards.