HINDFOOT

Hindfoot 2018-02-27T16:19:03+00:00

Plantar Fasciitis

This is the inflammation of the plantar fascia. It is a thick band of connective tissue that begins at the metatarsal heads and runs all the way along the arch to the bottom of the foot. When repeated motion occurs about the foot, the plantar fascia is strained and this causes micro tears. Over time, the pulling of the fascia at the heel bone can cause a bony formation that protrudes from the front medial plantar of the heel where the fascia attaches.

Common Causes of Plantar Fasciitis

  • pregnancy
  • weight gain, muscular conditioning, body weight relative to body height
  • overuse in terms of walking and standing for long periods of time
  • unsupportive footwear
  • hyperpronation and hypersupination (excessive rotation and excessive rolling outward)
  • forefoot mal-alignment

Common Symptoms of Plantar Fasciitis

  • muscle strain in the back and hips by shifting the body weight onto the lateral part of the foot
  • pain where the heel and arch meet where there is pain across the underside of the foot
  • exceptional pain with walking after a night’s sleep or a long period of resting
  • continual pain that is worse at the end of the day

Treatment Options for Plantar Fasciitis

Orthotics that are prescribed by a doctor. These orthotics will support the skeleton, the muscles, and the fascia. Orthotics are a long-term solution to prevent reoccurrence of the problem. It is important that the individual leaves the supportive footwear beside his/her bed so that he/she can put them first thing in the morning.
The orthotics should include: forefoot postings to correct the forefoot alignment; a cupped heel to distribute pressure evenly and away from the centre of the heel; heel raise to lessen tension from muscle tightening; arch support to stabilize and relieve the muscles and soft tissue.

Types of Footwear for Plantar Fasciitis

Stable footwear that includes orthopaedic and therapeutic shoes.
These shoes must have a wide base that provides medial and lateral support. This kind of support can be applied to athletic shoes, sandals, boots, and walking shoes.
A rocker forefoot sole allows a person’s manner of walking without bending through the metatarsal joints and decreases fascia elongation at toe-off.

Weak Ankles

Weak ankles are mainly a result of loose ligament structures that allow the ankle to pronate excessively.

Common Causes of Weak Ankles

  • unsupportive footwear
  • deltoid ligament laxity, that is weak musculature
  • weight gain
  • aging
  • heel-ankle, midfoot, or forefoot mal-alignment
  • overuse where muscles have to work harder which results in increased reliance on ligaments

Common Symptoms of Weak Ankles

  • pain or inflammation along the Achilles tendon
  • ankle pain or inflammation
  • night cramps, aching, fatigued legs
  • joint pain and muscle fatigue in the knees and back due to poor alignment
  • heel pain or inflammation where the arch meet the heel
  • morning stiffness in the ankle
  • pain or inflammation along the shin bone

Treatment Options for Weak Ankles

Orthotics that are prescribed by a doctor. These orthotics should include a medial longitudinal arch support that reflects the patient’s foot type and flexibility; a cupped heel to control heel eversion; extra wedging that can be placed under the medial side of the heel or forefoot to fix mal-alignment.

Types of Footwear for Weak Ankles

Stable footwear that includes orthopaedic and therapeutic shoes.
The orthotics should be built with a wide sole base that provides medial and lateral support which can be used in sandals, boots, athletic shoes, and walking shoes.

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