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		<title>Arch Pain When Walking - Historial de revisiones</title>
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		<title>StephanyNaranjo en 18:52 11 jun 2017</title>
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				<updated>2017-06-11T18:52:16Z</updated>
		
		<summary type="html">&lt;p&gt;&lt;/p&gt;
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				&lt;td colspan='2' style=&quot;background-color: white; color:black; text-align: center;&quot;&gt;← Revisión anterior&lt;/td&gt;
				&lt;td colspan='2' style=&quot;background-color: white; color:black; text-align: center;&quot;&gt;Revisión de 18:52 11 jun 2017&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Línea 1:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Línea 1:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class='diff-marker'&gt;−&lt;/td&gt;&lt;td style=&quot;color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Overview&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;You may have flat feet from birth or have developed them over time&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Unless you have severe or chronic pain, orthotic inserts usually help ease occasional achiness. However, flat feet that become progressively painful or deformed may be caused by problems with your posterior tibial tendon or spring ligament&lt;/del&gt;, which supports &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;your &lt;/del&gt;arch. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Surgery may become necessary. Surgery may involve lengthening &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Achilles tendon &lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;fusing &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;midfoot joint&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;or transferring healthy tendon from one part of &lt;/del&gt;the foot &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;to another. Stiff &lt;/del&gt;flat feet &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;are sometimes caused &lt;/del&gt;by &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;tarsal coalition&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;a condition &lt;/del&gt;in &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;which &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bones &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the hindfoot fail &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;separate during &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;baby?s development in &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;womb. Most people go their whole lives without knowing they have a hindfoot condition. But if the condition becomes painful, surgery or fusion may relieve the pain&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Causes&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;The arch of the foot is &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;very complex structure&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;consisting of multiple bones and ligaments&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Most causes of arch pain &lt;/del&gt;are &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;related &lt;/del&gt;to the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;anatomy of the arch &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the types of physical &lt;/del&gt;activity &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;that you perform&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;For example&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;a classic set up for arch &lt;/del&gt;pain &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;is &lt;/del&gt;people &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;who engage in lots &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;high impact exercise &lt;/del&gt;(&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;such as running&lt;/del&gt;) &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;while wearing a type of athletic shoe that does &lt;/del&gt;not &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;properly support their type &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;foot arch&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Symptoms&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;The majority of children and adults with flexible flatfeet never &lt;/del&gt;have symptoms&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;. However&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;their toes may tend to point outward as they walk, a &lt;/del&gt;condition &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;called out&lt;/del&gt;-&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;toeing&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;A person who develops &lt;/del&gt;symptoms usually &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;complains &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;tired, aching feet, especially after prolonged standing or walking&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Symptoms of rigid flatfoot vary depending on &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;cause &lt;/del&gt;of the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;foot problem&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Diagnosis&amp;lt;br&amp;gt;The &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;doctor will examine your feet for foot flexibility and range &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;motion and feel for any tenderness &lt;/del&gt;or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bony abnormalities. Depending on &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;results of this &lt;/del&gt;physical examination&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;, foot &lt;/del&gt;X-rays &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;may be recommended&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;X-rays are always performed in &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;young child with rigid flatfeet &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;in an adult with acquired flatfeet due &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;trauma&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Non Surgical Treatment&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;There is considerable debate about &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;best treatment option for plantar fasciitis. Some authors suggest all &lt;/del&gt;of the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;'mainstream' methods &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;treatment don't actually help at all and can actually make &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;symptoms worse&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;However, on &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;whole, there are several of &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;most commonly cited &lt;/del&gt;treatment options &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;for plantar fasciitis and these are generally accepted throughout &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;medical community. I would recommend giving these options a try if you haven't already. Rest. This &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;mainly applicable &lt;/del&gt;to the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;sports people as rest is possible treatment&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;(For those who cannot rest e.g. people who work on their feet - skip to &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;other &lt;/del&gt;treatment &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;options below)&lt;/del&gt;. Rest &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;until it is not painful. This is made more difficult as people need to use their feet to perform daily activities but certainly stop sporting activities that are likely to be putting the fascia under excessive stress. Perform Self Micro-Massage (you can watch this video by clicking the link or scrolling further down the page as it's embedded on this lens!) This massage technique is used to break down fibrous tissue and also to stimulate blood flow to the area&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;both of which encourage healing &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;reduce pain&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;There &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;also &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;potentially soothing effect on nerve endings which will contribute to pain relief&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Ice/Cold Therapy. Particularly useful after spending periods on your feet to reduce the inflammation. Wrap some ice or a bag of frozen peas in a towel and hold against &lt;/del&gt;the foot for &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;up &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;10 minutes. Repeat until symptoms have resolved. Heat Therapy. Heat therapy can be used (not after activity) to improve blood flow to the area to encourage healing. A heat pack of hot water bottle can be used. 10 minutes is ideal. Careful not to burn yourself. A good taping technique. By taping &lt;/del&gt;the foot &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;in &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;certain way you can limit the movement in the foot and prevent the fascia from over-stretching &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;gives &lt;/del&gt;it &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;a chance to rest and heal. Click on &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;link for more information on taping techniques&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Weight Management. If you are over&lt;/del&gt;-&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;weight, any weight you can loose will help to ease the burden on your sore feet &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;plantar fascia. Orthotic devices (often mis-spelled orthodic) &lt;/del&gt;are &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;special insoles that can be &lt;/del&gt;used to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;limit over&lt;/del&gt;-&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;pronation (discussed earlier) and control &lt;/del&gt;foot &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;function&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;By preventing the arches flattening excessively&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the plantar fascia is not over-stretched to the same extent and this should &lt;/del&gt;help &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;with the symptoms &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;encourage healing. Stretching &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;calf muscles &lt;/del&gt;(&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;again, click this link or scroll to the bottom of the page to watch the embedded video&lt;/del&gt;) &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;can help to lengthen these muscles and the Achilles tendon - &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;risk factor for &lt;/del&gt;plantar fasciitis&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;. Stretching of the plantar fascia itself is also encouraged, particularly before getting up the morning (night splints can be used for this effect) &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;after periods of rest. This can be achieved by placing a towel or band under the ball of the foot and gently pulling upwards until a stretch is felt. Hold for about 15&lt;/del&gt;-&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;20 seconds then rest briefly. Repeat 2-3 times. As you can see there are many different treatment options available. Try incorporating some of these in to &lt;/del&gt;your &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;daily routine and see what works for you. Regardless of the method the main aim is &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;prevent &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;fascia from over-stretching. Medical professionals such as a Podiatrist may decide to make custom orthotics or try ultra-sound therapy. It is likely that anti-inflammatory medications will also be recommended&lt;/del&gt;. If &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;you have tried the treatment options and &lt;/del&gt;your &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;symptoms persist I'd &lt;/del&gt;recommend &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;going to see &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;medical professional for further advice&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Cavus foot &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;caused in part by an over-pull &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;one of the lateral ankle muscles&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;A release of this tendon can &lt;/del&gt;be &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;performed on &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;outside of the ankle&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Additionally, a transfer of this tendon can be performed &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;help in correcting deformity &lt;/del&gt;of the ankle &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;joint&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Often &lt;/del&gt;patients &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;will have a tightness of their gastrocnemius muscle&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;one of &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;main muscles in the calf. This can increase the deformity or prevent a correction from working. It &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;addressed with &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;lengthening of &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;part of the calf muscle or Achilles tendon&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;This is often performed through one or more small cuts &lt;/del&gt;in the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;back of the leg &lt;/del&gt;or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;ankle&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Finally&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the plantar fascia may be tight. The plantar fascia is a cord-like structure that runs from the heel to the front part &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the foot. Partial or complete plantar fascia release may be done&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Stretching Exercises&lt;/del&gt;&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Inchworm&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Stand with your weight on one foot. Raise &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt; metatarsal heads &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the unweighted foot while you pull its heel closer to your toes&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Next&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;raise your toes toward &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;ceiling, and then relax your whole foot &lt;/del&gt;with &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;it flat &lt;/del&gt;on the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;floor&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Your foot should move like an inchworm across &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;floor&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Reps 6-7 for each foot. Horsepawing. Stand with your weight on one foot and &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;other foot slightly in &lt;/del&gt;front of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;you. Raise &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;metatarsal heads on &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;front foot&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Lift your &lt;/del&gt;heel &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;ever so slightly off the ground, maintaining the raised metatarsal heads, &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;pull your foot toward you so that it ends up behind you. Return this foot to &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;starting position in front of you. You &lt;/del&gt;should &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;really feel this one in your arch&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Reps. 6-7 for each &lt;/del&gt;foot&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;. Toe pushups. Sit in a chair &lt;/del&gt;with &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;your feet resting on the floor. Raise your heel as high as you can while keeping your toes flat on the floor. This is the starting position. Using your toe muscles, roll your foot upward until the weight of your foot is resting on the ends of your toes, like &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;dancer standing on point in toe shoes&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Roll back down to the starting position. Reps. 10&lt;/del&gt;-&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;20 for each foot&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Sand scraping. Pretend you &lt;/del&gt;are &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;at the beach standing in loose sand. Use your big toe &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;pull sand inward toward your body, with your little toe off the ground. Then &lt;/del&gt;use &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;your little toe to push it away, with your big toe off the ground. Reps. 10 &lt;/del&gt;for &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;each foot. Now reverse &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;exercise: pull the sand inward with your little toe and push it away with your big toe. Reps. 10 for each foot&lt;/del&gt;.&lt;/div&gt;&lt;/td&gt;&lt;td class='diff-marker'&gt;+&lt;/td&gt;&lt;td style=&quot;color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Overview&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;The arch of the foot is formed by the tarsal and metatarsal bones and is strengthened by ligaments and tendons that enable the foot to correctly support the weight of the body&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;The underside of the foot is made up of four layers of muscle tissue as well as a length of thick connective tissue called the plantar fascia&lt;/ins&gt;, which supports &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the &lt;/ins&gt;arch. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;If &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;surrounding muscles weaken&lt;/ins&gt;, the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;plantar fascia will drop and the arch will collapse. If the arch collapses&lt;/ins&gt;, the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;whole &lt;/ins&gt;foot &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;touches the ground, which is known as pes planus or &lt;/ins&gt;flat feet&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;. Flat feet affect about 15 per cent of Britons. Although usually genetic, the condition may be exacerbated or triggered &lt;/ins&gt;by &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;poorly fitted shoes or conditions such as arthritis and pregnancy&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;when sudden changes &lt;/ins&gt;in &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;shape and weight can alter &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;body's centre &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;gravity leading &lt;/ins&gt;to a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;weakening of &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;arches&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Causes&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;In most cases, plantar fasciitis develops without &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;specific&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;identifiable reason&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;There &lt;/ins&gt;are&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;, however, many factors that can make you more prone &lt;/ins&gt;to the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;condition. Tighter calf muscles that make it difficult to flex your foot &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bring your toes up toward your shin. Obesity. Very high arch. Repetitive impact &lt;/ins&gt;activity &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;(running/sports)&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;New or increased activity.Although many people with plantar fasciitis have heel spurs&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;spurs are not the cause of plantar fasciitis &lt;/ins&gt;pain&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;. One out of 10 &lt;/ins&gt;people &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;has heel spurs, but only 1 out &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;20 people &lt;/ins&gt;(&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;5%&lt;/ins&gt;) &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;with [http://Ameblo.jp/frankieboehnlein/entry-12048516058.html heel spurs] has foot pain. Because the spur is &lt;/ins&gt;not &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the cause &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;plantar fasciitis, the pain can be treated without removing the spur&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Symptoms&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Many people &lt;/ins&gt;have &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;no &lt;/ins&gt;symptoms, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;and the &lt;/ins&gt;condition &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;is discovered only by chance when an X&lt;/ins&gt;-&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;ray of the foot is obtained for some other problem&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;When &lt;/ins&gt;symptoms &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;occur, there is &lt;/ins&gt;usually &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;foot pain that begins at the outside rear &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the foot&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;The pain tends to spread upward to &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;outer ankle and to the outside portion &lt;/ins&gt;of the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;lower leg. Symptoms usually start during a child's teenage years and are aggravated by playing sports or walking on uneven ground. In some cases, the condition is discovered when a child is evaluated for unusually frequent ankle sprains&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Diagnosis&amp;lt;br&amp;gt;The &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;diagnosis &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;high arch (cavus) foot deformity &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Charcot Marie Tooth disease can be made by an orthopedic surgeon in &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;office. Evaluation includes a thorough history and &lt;/ins&gt;physical examination &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;as well as imaging studies such as &lt;/ins&gt;X-rays. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;The orthopedic surgeon will look at the overall shape, flexibility, and strength of &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;patient?s foot &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;ankle &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;help determine the best treatment. Nerve tests may occasionally need to be performed to help confirm the diagnosis&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Non Surgical Treatment&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;How &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;pain in the bottom &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;your foot is treated will depend heavily on &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;cause &lt;/ins&gt;of the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;pain&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Diagnosing &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;pain while it?s in &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;early stages is important when determining the best &lt;/ins&gt;treatment options&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;. If &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;pain &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;mild &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;moderate, simple improvements in footwear can help reduce &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;symptoms&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Most patients must use &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;RICE method for effective &lt;/ins&gt;treatment. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;RICE stands for &lt;/ins&gt;Rest, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Ice, Compression, &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Elevation&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;This &lt;/ins&gt;is a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;popular treatment used by athletes&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;It involves resting &lt;/ins&gt;the foot&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;, icing it &lt;/ins&gt;for &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;fifteen &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;twenty minute intervals, compressing &lt;/ins&gt;the foot &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;with &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bandage, &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;elevating &lt;/ins&gt;it &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;at least twelve inches above &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;heart&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Ant&lt;/ins&gt;-&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;inflammatory &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;pain medications &lt;/ins&gt;are &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;also sometimes &lt;/ins&gt;used to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;treat bottom-of&lt;/ins&gt;-foot &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;pain&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;For more serious cases&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;steroid injections or foot surgery may &lt;/ins&gt;help &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;reduce pain &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;swelling and correct &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;underlying condition &lt;/ins&gt;(&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;if there is one.&lt;/ins&gt;) &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;If you suffer from &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;severe case of &lt;/ins&gt;plantar fasciitis and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;non&lt;/ins&gt;-&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;surgical methods fail, &lt;/ins&gt;your &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;doctor may recommend cortisone injections &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;relieve &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;pain&lt;/ins&gt;. If &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;cortisone injections fail, &lt;/ins&gt;your &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;doctor may &lt;/ins&gt;recommend a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;surgical procedure that involves cutting and releasing the plantar fascia&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Foot surgery &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;difficult, especially when large amounts &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;deformity correction are needed&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;The ability to bring the foot into a new position may not &lt;/ins&gt;be &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;lasting, even if everything looks perfect in &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;operating room&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;The goal is &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;provide improved position and function &lt;/ins&gt;of the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;foot and &lt;/ins&gt;ankle. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;In some &lt;/ins&gt;patients &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;with very severe deformity&lt;/ins&gt;, the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;goal &lt;/ins&gt;is a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;foot that functions well in &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;brace&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;There are complications that relate to surgery &lt;/ins&gt;in &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;general. These include &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;risks associated with anesthesia, infection, damage to nerves and blood vessels, and bleeding &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;blood clots&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Particular complications associated with cavus foot surgery include incomplete correction of deformity&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;return &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;deformity and incomplete fusion&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Prevention&lt;/ins&gt;&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Foot and ankle injuries are common in sports, especially running, tennis and soccer&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;But sports enthusiasts can decrease &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;risk &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;injury by taking some precautions&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Lightly stretch or better yet&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;do a slow jog for two to three minutes to warm up &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;muscles. Don't force the stretch &lt;/ins&gt;with &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;a &amp;quot;bouncing motion.&amp;quot; The amount of time spent &lt;/ins&gt;on the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;activity should be increased gradually over a period of weeks to build both muscle strength and mobility&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Cross training by participating in different activities can help build &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;muscles&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;People whose feet pronate or who have low arches should choose shoes that provide support in both &lt;/ins&gt;the front of the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;shoe and under &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;arch&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;The &lt;/ins&gt;heel and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;heel counter (back of &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;shoe) &lt;/ins&gt;should &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;be very stable&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Those with a stiffer &lt;/ins&gt;foot &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;or high arches should choose shoes &lt;/ins&gt;with &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;more cushion and &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;softer platform&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Use sport&lt;/ins&gt;-&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;specific shoes&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Cross training shoes &lt;/ins&gt;are &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;an overall good choice; however, it is best &lt;/ins&gt;to use &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;shoes designed &lt;/ins&gt;for the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;sport&lt;/ins&gt;.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>StephanyNaranjo</name></author>	</entry>

	<entry>
		<id>http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Arch_Pain_When_Walking&amp;diff=8065&amp;oldid=prev</id>
		<title>Elias50D88372494: Página creada con «Overview&lt;br&gt;You may have flat feet from birth or have developed them over time. Unless you have severe or chronic pain, orthotic inserts usually help ease occasional achine...»</title>
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				<updated>2017-06-11T05:31:47Z</updated>
		
		<summary type="html">&lt;p&gt;Página creada con «Overview&amp;lt;br&amp;gt;You may have flat feet from birth or have developed them over time. Unless you have severe or chronic pain, orthotic inserts usually help ease occasional achine...»&lt;/p&gt;
&lt;p&gt;&lt;b&gt;Página nueva&lt;/b&gt;&lt;/p&gt;&lt;div&gt;Overview&amp;lt;br&amp;gt;You may have flat feet from birth or have developed them over time. Unless you have severe or chronic pain, orthotic inserts usually help ease occasional achiness. However, flat feet that become progressively painful or deformed may be caused by problems with your posterior tibial tendon or spring ligament, which supports your arch. Surgery may become necessary. Surgery may involve lengthening the Achilles tendon , fusing the midfoot joint, or transferring healthy tendon from one part of the foot to another. Stiff flat feet are sometimes caused by tarsal coalition, a condition in which the bones of the hindfoot fail to separate during a baby?s development in the womb. Most people go their whole lives without knowing they have a hindfoot condition. But if the condition becomes painful, surgery or fusion may relieve the pain.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Causes&amp;lt;br&amp;gt;The arch of the foot is a very complex structure, consisting of multiple bones and ligaments. Most causes of arch pain are related to the anatomy of the arch and the types of physical activity that you perform. For example, a classic set up for arch pain is people who engage in lots of high impact exercise (such as running) while wearing a type of athletic shoe that does not properly support their type of foot arch.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Symptoms&amp;lt;br&amp;gt;The majority of children and adults with flexible flatfeet never have symptoms. However, their toes may tend to point outward as they walk, a condition called out-toeing. A person who develops symptoms usually complains of tired, aching feet, especially after prolonged standing or walking. Symptoms of rigid flatfoot vary depending on the cause of the foot problem.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Diagnosis&amp;lt;br&amp;gt;The doctor will examine your feet for foot flexibility and range of motion and feel for any tenderness or bony abnormalities. Depending on the results of this physical examination, foot X-rays may be recommended. X-rays are always performed in a young child with rigid flatfeet and in an adult with acquired flatfeet due to trauma.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Non Surgical Treatment&amp;lt;br&amp;gt;There is considerable debate about the best treatment option for plantar fasciitis. Some authors suggest all of the 'mainstream' methods of treatment don't actually help at all and can actually make the symptoms worse. However, on the whole, there are several of the most commonly cited treatment options for plantar fasciitis and these are generally accepted throughout the medical community. I would recommend giving these options a try if you haven't already. Rest. This is mainly applicable to the sports people as rest is possible treatment. (For those who cannot rest e.g. people who work on their feet - skip to the other treatment options below). Rest until it is not painful. This is made more difficult as people need to use their feet to perform daily activities but certainly stop sporting activities that are likely to be putting the fascia under excessive stress. Perform Self Micro-Massage (you can watch this video by clicking the link or scrolling further down the page as it's embedded on this lens!) This massage technique is used to break down fibrous tissue and also to stimulate blood flow to the area, both of which encourage healing and reduce pain. There is also a potentially soothing effect on nerve endings which will contribute to pain relief. Ice/Cold Therapy. Particularly useful after spending periods on your feet to reduce the inflammation. Wrap some ice or a bag of frozen peas in a towel and hold against the foot for up to 10 minutes. Repeat until symptoms have resolved. Heat Therapy. Heat therapy can be used (not after activity) to improve blood flow to the area to encourage healing. A heat pack of hot water bottle can be used. 10 minutes is ideal. Careful not to burn yourself. A good taping technique. By taping the foot in a certain way you can limit the movement in the foot and prevent the fascia from over-stretching and gives it a chance to rest and heal. Click on the link for more information on taping techniques. Weight Management. If you are over-weight, any weight you can loose will help to ease the burden on your sore feet and plantar fascia. Orthotic devices (often mis-spelled orthodic) are special insoles that can be used to limit over-pronation (discussed earlier) and control foot function. By preventing the arches flattening excessively, the plantar fascia is not over-stretched to the same extent and this should help with the symptoms and encourage healing. Stretching the calf muscles (again, click this link or scroll to the bottom of the page to watch the embedded video) can help to lengthen these muscles and the Achilles tendon - a risk factor for plantar fasciitis. Stretching of the plantar fascia itself is also encouraged, particularly before getting up the morning (night splints can be used for this effect) and after periods of rest. This can be achieved by placing a towel or band under the ball of the foot and gently pulling upwards until a stretch is felt. Hold for about 15-20 seconds then rest briefly. Repeat 2-3 times. As you can see there are many different treatment options available. Try incorporating some of these in to your daily routine and see what works for you. Regardless of the method the main aim is to prevent the fascia from over-stretching. Medical professionals such as a Podiatrist may decide to make custom orthotics or try ultra-sound therapy. It is likely that anti-inflammatory medications will also be recommended. If you have tried the treatment options and your symptoms persist I'd recommend going to see a medical professional for further advice.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;Cavus foot is caused in part by an over-pull of one of the lateral ankle muscles. A release of this tendon can be performed on the outside of the ankle. Additionally, a transfer of this tendon can be performed to help in correcting deformity of the ankle joint. Often patients will have a tightness of their gastrocnemius muscle, one of the main muscles in the calf. This can increase the deformity or prevent a correction from working. It is addressed with a lengthening of a part of the calf muscle or Achilles tendon. This is often performed through one or more small cuts in the back of the leg or ankle. Finally, the plantar fascia may be tight. The plantar fascia is a cord-like structure that runs from the heel to the front part of the foot. Partial or complete plantar fascia release may be done.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Stretching Exercises&amp;lt;br&amp;gt;Inchworm. Stand with your weight on one foot. Raise the  metatarsal heads of the unweighted foot while you pull its heel closer to your toes. Next, raise your toes toward the ceiling, and then relax your whole foot with it flat on the floor. Your foot should move like an inchworm across the floor. Reps 6-7 for each foot. Horsepawing. Stand with your weight on one foot and the other foot slightly in front of you. Raise the metatarsal heads on the front foot. Lift your heel ever so slightly off the ground, maintaining the raised metatarsal heads, and pull your foot toward you so that it ends up behind you. Return this foot to the starting position in front of you. You should really feel this one in your arch. Reps. 6-7 for each foot. Toe pushups. Sit in a chair with your feet resting on the floor. Raise your heel as high as you can while keeping your toes flat on the floor. This is the starting position. Using your toe muscles, roll your foot upward until the weight of your foot is resting on the ends of your toes, like a dancer standing on point in toe shoes. Roll back down to the starting position. Reps. 10-20 for each foot. Sand scraping. Pretend you are at the beach standing in loose sand. Use your big toe to pull sand inward toward your body, with your little toe off the ground. Then use your little toe to push it away, with your big toe off the ground. Reps. 10 for each foot. Now reverse the exercise: pull the sand inward with your little toe and push it away with your big toe. Reps. 10 for each foot.&lt;/div&gt;</summary>
		<author><name>Elias50D88372494</name></author>	</entry>

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