Plantar fasciitis is a common condition experienced by a wide variety of patients, and it can stem from numerous causes. By definition, plantar fasciitis is the inflammation of the plantar fascia or aponeurosis. It can be caused by trauma, such as from a jumping or running activity, or it can have a more chronic nature from the longstanding stretching of excessively pronated feet. The pain of plantar fasciitis is commonly at its worst when a patient is rising from bed in the morning.
Childhood foot problems can have both immediate and long-term effects. During growth, the normal development of the pelvis and the spine will suffer if there is a foot imbalance. A budding athlete’s skill level—even running at recess—can be significantly affected.Later on, foot problems from childhood can interfere with adolescent (or adult) spinal function. With a relatively quick screening of your younger patients, you can identify those who need early intervention, and then provide them with proper custom-made orthotic support.
The patient is a 13-year-old boy who was identified at a school screening to have a discrepancy in his shoulder heights. His parents were advised to contact an orthopedic surgeon for further evaluation. They reported that the orthopedist found evidence of a scoliosis, but recommended a “watch and wait” approach. No treatment was offered, but if the boy’s spinal curve increased, he (the orthopedist) would be available to perform spinal corrective surgery. The boy’s parents are requesting a second opinion, and any recommendations for non-invasive, conservative care.
Just like a house, when the foundation is not level everything that sits atop is not supported and is crooked. This means that normal foot mechanics can adversely influence the normal functions of the ankle, knee, hip, back, and neck. If left untreated, many foot conditions eventually contribute to health concerns up the kinetic chain.
Summer and warmer weather means more patients wearing sandals and flip-flops. They are very popular for use of a variety of occasions for their casual and comfortable style. A survey on 1,000 females showed that approximately 43 percent of them preferred wearing flip-flops over sports shoes during shopping. And although it’s always fun to kick your typical non-summer footwear aside, sandals are typically known to be the most non-body-friendly footwear.