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		<title>Heel And Arch Pain Exercises - Historial de revisiones</title>
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		<title>LillieFowell1 en 15:18 12 jun 2017</title>
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				<updated>2017-06-12T15:18:25Z</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 15:18 12 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;A fallen arch or flatfoot &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;known medically as pes planus. The foot loses the gently curving arch on the inner side &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the sole&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;just in front of the heel&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;If this &lt;/del&gt;arch &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;is flattened only when standing &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;returns when the &lt;/del&gt;foot is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;lifted off &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;ground&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the condition is called flexible pes planus or flexible flatfoot&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;If the &lt;/del&gt;arch &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;disappears &lt;/del&gt;in &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;both foot positions&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;standing &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;elevated&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the condition is called rigid pes planus or rigid flatfoot&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;Conditions &lt;/del&gt;that &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;affect the nervous system (brain and spinal cord) &lt;/del&gt;can &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;also cause the arches &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;fall. Over time, &lt;/del&gt;the muscles &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;gradually become stiffer &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;weaker and lose their flexibility&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Conditions where this can occur include cerebral palsy, spina bifida and muscular dystrophy. Adult-acquired flat feet often affect women over 40 years of age&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;It often goes undiagnosed and develops when the tendon that supports the foot &lt;/del&gt;arch &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;gradually stretches over time&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;It's not fully understood what causes the tendon to become stretched, but some experts believe that &lt;/del&gt;[&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;http&lt;/del&gt;://&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;antoniocawley&lt;/del&gt;.&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;myblog&lt;/del&gt;.&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;de/ wearing high heels&lt;/del&gt;] &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;and standing or walking for long periods may play a part&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Obesity&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;high blood pressure &lt;/del&gt;(&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;hypertension&lt;/del&gt;) &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;and diabetes are all risk factors&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;Repetitive exertive activity arch pain is usually sharp, &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;localized &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;a specific area&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;rather than the entire arch&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Usually the pain occurs &lt;/del&gt;in &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the area just in front of the heel&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;It is present when first standing on &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;foot in &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;morning, but may decrease once you start walking around, but will, gradually becomes worse with continued walking or running&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Swelling may be present. The pain subsides with rest, but stretching &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;arch while resting may cause the pain &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;return. Injury pain is constantly present, but worse when standing &lt;/del&gt;on the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;foot&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;This pain is localized to &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;specific area, but may radiate out from this area to the entire foot&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;The pain is sharp, and usually accompanied &lt;/del&gt;by &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;swelling and occasionally &amp;quot;black and blue&amp;quot; discolorations. The pain due to the natural aging process is usually dull and aching, or stiff, and can &lt;/del&gt;be &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;felt throughout &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;entire arch &lt;/del&gt;area&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;, rather then in just one spot. This pain &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;present whenever weight bearing, and usually becomes worse with continued walking&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;The pain gradually subsides when resting, and usually does not return with stretching. Biomechanical defect pain is usually localized to &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;section of &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;arch, such as the inner, middle, outer, front, or back &lt;/del&gt;of the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;arch&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;This pain &lt;/del&gt;may be &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;sharp or dull, but is always worse with continued walking&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Diagnosis&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;To come &lt;/del&gt;to a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;correct diagnosis, your podiatrist will examine your foot by using his or her fingers &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;look &lt;/del&gt;for &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;a lump or stone bruise in the ball of your foot&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;He or she will examine &lt;/del&gt;your &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;foot &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;look for deformities such as high or low arches, or to see if you have hammertoes. He or she &lt;/del&gt;may &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;use x-rays, MRIs (magnetic resource imaging), and CT scans &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;rule out fractures and damage to ligaments, tendons, and other surrounding tissues&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Your doctor &lt;/del&gt;will &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;also inquire about your daily activities, symptoms, &lt;/del&gt;medical &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;history, &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;family history. If you spend &lt;/del&gt;a lot of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;time running &lt;/del&gt;or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;jumping, you may be at a higher risk for pain &lt;/del&gt;in the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bottom &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;your &lt;/del&gt;foot&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;. These diagnostic tests will help your doctor come to a proper diagnosis &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;create an appropriate treatment plan&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;Treatment must be directed &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;supporting the individual bones and joints which make up the arch, and &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;aid the arch in its job as a shock absorber&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;This in turn alleviates the arch &lt;/del&gt;pain, and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;prevents &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;further collapse of the arch&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;This is accomplished through the use of either a high quality arch support &lt;/del&gt;or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;custom&lt;/del&gt;-&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;made orthotics&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;These devices support not only the arch&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;but each individual bone &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;joint which makes up the arch; and because of the space&lt;/del&gt;-&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;age materials used in their construction&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;allow the arch &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;become a much more efficient shock absorber&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;This not only relieves the arch &lt;/del&gt;pain, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;but also prevents &lt;/del&gt;it &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;from returning, and keeps &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;arch from collapsing further&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;If you have pain that has not been responsive to other treatments, there &lt;/del&gt;is a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;new non-surgical treatment that was recently approved by &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;FDA&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;ESWT (extracorporeal shockwave therapy) uses strong electrohydraulic acoustic (sound) energy that triggers &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;body?s natural repair mechanism&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;This treatment method is safe, effective &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;requires a very short recovery period compared &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;older surgical techniques&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Prevention&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;The best way &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;prevent plantar fasciitis is &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;wear shoes that are well made &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;fit your feet&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;This is especially important when you exercise, walk a lot, or stand for a long time &lt;/del&gt;on &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;hard surfaces&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Get new athletic shoes before your old shoes stop supporting and cushioning your feet. You &lt;/del&gt;should &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;also avoid repeated jarring to &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;heel&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Maintain a healthy weight&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Stretch when you feel a tightening &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the ligament that runs along the bottom of your foot. Stop impact sports when symptoms first occur&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Stretching Exercises&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Start in an L-Sit position&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;(If you?re hips and hamstrings &lt;/del&gt;are &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;tight sit up on a box or phone book &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;be able to achieve a tall back position. You can even sit on a box with your back supported against a wall!) Keeping &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;legs straight&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;but not locked, reach both heels out away from your body to ?Flex? &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;ankles&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Try to avoid pulling back with the toes to flex&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Keep &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;toes relaxed and lead from the heel to hinge &lt;/del&gt;the foot &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;into the flexed position&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Hold &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;flexed &lt;/del&gt;foot and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;breathe. Take 3-5 breaths and see if you &lt;/del&gt;can &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;reach farther through the heel &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;deepen &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;flex on each exhale&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;To transition &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the pointed position&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;begin by pointing &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;foot to move the ankles as far as possible &lt;/del&gt;in the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;other direction. Once the ankles have reached their endpoint, use the muscles along the sole &lt;/del&gt;of the foot &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;to point the toes&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Inhale to continue lengthening out through the top of the foot&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;exhale to deepen the contraction under the sole of the foot to point the toes&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Take 3-5 breaths&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Then release &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;toes&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;and begin reaching out through the heel to hinge the ankle into the flexed position to repeat the exercise. Continue to flex and the point &lt;/del&gt;for &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;5-10 repetitions&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;Plantar fasciitis &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;a common and often persistent kind &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;repetitive strain injury afflicting runners&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;walkers and hikers, and nearly anyone who stands for a living, cashiers, for instance&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;It causes mainly foot &lt;/ins&gt;arch &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;pain &lt;/ins&gt;and&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;/or heel pain. Morning &lt;/ins&gt;foot &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;pain &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;a signature symptom. Plantar fasciitis is not &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;same thing as heel spurs and flat feet&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;but they are related and often confused&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Most people recover from plantar fasciitis with a little rest, &lt;/ins&gt;arch &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;support (regular shoe inserts or just comfy shoes), and stretching, but not everyone. Severe cases can stop you &lt;/ins&gt;in &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;your tracks&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;undermine your fitness &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;general health&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;and drag on for years&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 a specific, identifiable reason. There are, however, many factors &lt;/ins&gt;that can &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;make you more prone &lt;/ins&gt;to the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;condition. Tighter calf &lt;/ins&gt;muscles &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;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&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Obesity&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Very high &lt;/ins&gt;arch. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Repetitive impact activity (running/sports). New or increased activity.Although many people with plantar fasciitis have &lt;/ins&gt;[&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;https&lt;/ins&gt;://&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;americahartly&lt;/ins&gt;.&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;wordpress&lt;/ins&gt;.&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;com heel spurs&lt;/ins&gt;]&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;, spurs are not the cause of plantar fasciitis pain&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;One out of 10 people has heel spurs&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;but only 1 out of 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 heel spurs has foot pain. Because the spur is not the cause of 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;Bones &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;ligaments work together &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;form joints&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;and bones are joined together by ligaments&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Strains occur &lt;/ins&gt;in &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;ligaments&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;In &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;arch, there are ligaments that are located at &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;ends of each bone&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;These ligaments connect &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bones &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;other bones on both ends and &lt;/ins&gt;on the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;sides&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Point tenderness and looseness of &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;joint are indicators of a sprain&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Fractures are indicated &lt;/ins&gt;by &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;point tenderness that may &lt;/ins&gt;be &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;severe over &lt;/ins&gt;the area &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;of bone that &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;affected&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;There may be &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;distinguishable lump or gap at &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;site &lt;/ins&gt;of the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;fracture&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;A rotated toe or forefoot &lt;/ins&gt;may &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;also &lt;/ins&gt;be &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;a sign of a fracture&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Diagnosis&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;The doctor will take a brief history &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;determine how the injury occurred. If necessary, &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;thorough physical exam may be conducted &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;evaluate &lt;/ins&gt;for &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;any other injuries&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Taking &lt;/ins&gt;your &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;workout shoes &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the exam &lt;/ins&gt;may &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;also provide valuable information &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the medical practitioner&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Both feet &lt;/ins&gt;will &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;be physically and visually examined by the &lt;/ins&gt;medical &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;practitioner. The foot &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;arch will be touched and manipulated possibly with &lt;/ins&gt;a lot of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;pressure and inspected to identify obvious deformities, tender spots, &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;any differences &lt;/ins&gt;in the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bones &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the &lt;/ins&gt;foot and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;arch&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;There are home remedies &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;prevent or manage pain from fallen arches or flat feet. Here are some areas &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;consider&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Wear footwear or shoe inserts that are appropriate to your activity. When &lt;/ins&gt;pain &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;occurs, try at-home treatment of rest, ice&lt;/ins&gt;, and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;over-&lt;/ins&gt;the&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;-counter nonsteroidal anti-inflammatories, or NSAIDS, such as ibuprofen&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Ask your doctor &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;a physical therapist to show you stretches that can prepare you for feet&lt;/ins&gt;-&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;intensive activities&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Limit or treat risk factors that can make fallen arches or flat feet worse, such as diabetes, high blood pressure&lt;/ins&gt;, and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;obesity. Avoid activities that put excessive stress on your feet, such as running on roads. Avoid high&lt;/ins&gt;-&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;impact sports such as basketball&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;hockey, soccer, and tennis. Know when &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;get help&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;When &lt;/ins&gt;pain &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;is severe or interferes with activities&lt;/ins&gt;, it&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;'s time to see &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;doctor for a thorough exam and treatment&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;Fallen arches may occur with deformities of the foot bones. Tarsal coalition &lt;/ins&gt;is a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;congenital condition in which &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bones of the foot do not separate from one another during development in the womb&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;A child with tarsal coalition exhibits a rigid flat foot, which can be painful, notes &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;patient information website eOrthopod&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Surgery may prove necessary to separate the bones. Other foot &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;ankle conditions that cause fallen arches may also require surgery if noninvasive treatments fail &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;alleviate pain and restore normal function&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Prevention&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Early in the treatment of arch pain, consideration needs &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;be given &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the cause &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;strategies put in place to prevent it happening again&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Advice should be sought &lt;/ins&gt;on &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the adequacy of footwear&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Stretching exercises &lt;/ins&gt;should &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;be continued long after &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;symptoms are gone&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Foot orthoses should be used if structural imbalances are present&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Activity levels and types &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;activities (occupational and sporting) need to be considered and modified accordingly&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Stretching Exercises&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Strengthening exercises&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Below &lt;/ins&gt;are &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;two simple strength exercises &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;help condition &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;tendons and joints around &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;foot and ankle&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Plantar Rolling&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Place a small tin can or tennis ball under &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;arch of &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;affected &lt;/ins&gt;foot. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Slowly move &lt;/ins&gt;the foot &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;back &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;forth allowing the tin &lt;/ins&gt;can &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;or tennis ball &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;roll around 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;This activity will help &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;stretch&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;strengthen and massage &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;affected area. Toe Walking. Stand upright &lt;/ins&gt;in &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bare feet and rise up onto &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;toes and front &lt;/ins&gt;of the foot. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Balance in this position and walk forward in slow&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;small steps&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Maintain an upright, balanced posture, staying as high as possible with each step&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Complete three sets of &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;exercise, with a short break in between sets&lt;/ins&gt;, for &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;a total of 20 meters&lt;/ins&gt;.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>LillieFowell1</name></author>	</entry>

	<entry>
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		<title>FloyScarfe: Página creada con «Overview&lt;br&gt;A fallen arch or flatfoot is known medically as pes planus. The foot loses the gently curving arch on the inner side of the sole, just in front of the heel. If...»</title>
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				<updated>2017-06-10T10:34:49Z</updated>
		
		<summary type="html">&lt;p&gt;Página creada con «Overview&amp;lt;br&amp;gt;A fallen arch or flatfoot is known medically as pes planus. The foot loses the gently curving arch on the inner side of the sole, just in front of the heel. If...»&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;A fallen arch or flatfoot is known medically as pes planus. The foot loses the gently curving arch on the inner side of the sole, just in front of the heel. If this arch is flattened only when standing and returns when the foot is lifted off the ground, the condition is called flexible pes planus or flexible flatfoot. If the arch disappears in both foot positions, standing and elevated, the condition is called rigid pes planus or rigid flatfoot.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Causes&amp;lt;br&amp;gt;Conditions that affect the nervous system (brain and spinal cord) can also cause the arches to fall. Over time, the muscles gradually become stiffer and weaker and lose their flexibility. Conditions where this can occur include cerebral palsy, spina bifida and muscular dystrophy. Adult-acquired flat feet often affect women over 40 years of age. It often goes undiagnosed and develops when the tendon that supports the foot arch gradually stretches over time. It's not fully understood what causes the tendon to become stretched, but some experts believe that [http://antoniocawley.myblog.de/ wearing high heels] and standing or walking for long periods may play a part. Obesity, high blood pressure (hypertension) and diabetes are all risk factors.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Symptoms&amp;lt;br&amp;gt;Repetitive exertive activity arch pain is usually sharp, and localized to a specific area, rather than the entire arch. Usually the pain occurs in the area just in front of the heel. It is present when first standing on the foot in the morning, but may decrease once you start walking around, but will, gradually becomes worse with continued walking or running. Swelling may be present. The pain subsides with rest, but stretching the arch while resting may cause the pain to return. Injury pain is constantly present, but worse when standing on the foot. This pain is localized to a specific area, but may radiate out from this area to the entire foot. The pain is sharp, and usually accompanied by swelling and occasionally &amp;quot;black and blue&amp;quot; discolorations. The pain due to the natural aging process is usually dull and aching, or stiff, and can be felt throughout the entire arch area, rather then in just one spot. This pain is present whenever weight bearing, and usually becomes worse with continued walking. The pain gradually subsides when resting, and usually does not return with stretching. Biomechanical defect pain is usually localized to a section of the arch, such as the inner, middle, outer, front, or back of the arch. This pain may be sharp or dull, but is always worse with continued walking.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Diagnosis&amp;lt;br&amp;gt;To come to a correct diagnosis, your podiatrist will examine your foot by using his or her fingers to look for a lump or stone bruise in the ball of your foot. He or she will examine your foot to look for deformities such as high or low arches, or to see if you have hammertoes. He or she may use x-rays, MRIs (magnetic resource imaging), and CT scans to rule out fractures and damage to ligaments, tendons, and other surrounding tissues. Your doctor will also inquire about your daily activities, symptoms, medical history, and family history. If you spend a lot of time running or jumping, you may be at a higher risk for pain in the bottom of your foot. These diagnostic tests will help your doctor come to a proper diagnosis and create an appropriate treatment plan.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Non Surgical Treatment&amp;lt;br&amp;gt;Treatment must be directed to supporting the individual bones and joints which make up the arch, and to aid the arch in its job as a shock absorber. This in turn alleviates the arch pain, and prevents the further collapse of the arch. This is accomplished through the use of either a high quality arch support or custom-made orthotics. These devices support not only the arch, but each individual bone and joint which makes up the arch; and because of the space-age materials used in their construction, allow the arch to become a much more efficient shock absorber. This not only relieves the arch pain, but also prevents it from returning, and keeps the arch from collapsing further.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;If you have pain that has not been responsive to other treatments, there is a new non-surgical treatment that was recently approved by the FDA. ESWT (extracorporeal shockwave therapy) uses strong electrohydraulic acoustic (sound) energy that triggers the body?s natural repair mechanism. This treatment method is safe, effective and requires a very short recovery period compared to older surgical techniques.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Prevention&amp;lt;br&amp;gt;The best way to prevent plantar fasciitis is to wear shoes that are well made and fit your feet. This is especially important when you exercise, walk a lot, or stand for a long time on hard surfaces. Get new athletic shoes before your old shoes stop supporting and cushioning your feet. You should also avoid repeated jarring to the heel. Maintain a healthy weight. Stretch when you feel a tightening of the ligament that runs along the bottom of your foot. Stop impact sports when symptoms first occur.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Stretching Exercises&amp;lt;br&amp;gt;Start in an L-Sit position. (If you?re hips and hamstrings are tight sit up on a box or phone book to be able to achieve a tall back position. You can even sit on a box with your back supported against a wall!) Keeping the legs straight, but not locked, reach both heels out away from your body to ?Flex? the ankles. Try to avoid pulling back with the toes to flex. Keep the toes relaxed and lead from the heel to hinge the foot into the flexed position. Hold the flexed foot and breathe. Take 3-5 breaths and see if you can reach farther through the heel to deepen the flex on each exhale. To transition to the pointed position, begin by pointing the foot to move the ankles as far as possible in the other direction. Once the ankles have reached their endpoint, use the muscles along the sole of the foot to point the toes. Inhale to continue lengthening out through the top of the foot, exhale to deepen the contraction under the sole of the foot to point the toes. Take 3-5 breaths. Then release the toes, and begin reaching out through the heel to hinge the ankle into the flexed position to repeat the exercise. Continue to flex and the point for 5-10 repetitions.&lt;/div&gt;</summary>
		<author><name>FloyScarfe</name></author>	</entry>

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