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Plantar Fasciitis Treatment Video Tutorial | SYDNEY HEEL PAIN | sydneyheelpain.com.au

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Published on Oct 29, 2010

PLANTAR FASCIITIS www.sydneyheelpain.com.au

Karl Lockett (Sports Podiatrist) explains how to cure Plantar Fasciitis (Heel pain). More information about plantar fasciitis here: http://www.sydneyheelpain.com.au/what... & http://www.sydneyheelpain.com.au/

HERE’S THE TRANSCRIPTION IF YOU’D RATHER READ:

Hi there! Welcome to this tutorial on plantar fasciitis. My name is Karl Locket. I’m a sport podiatrist in Sydney, Australia. I trained in Manchester in the UK. My area of interest is plantar fasciitis. I’ve been working with this condition for approximately 10 years. So if you are watching this video, you’re probably suffering from heel pain or plantar fasciitis. I’m going to run through a few things today and explain to you a very successful way of treating this condition. And also run through a few other things, a few reasons why I think a lot of different treatments have failed to help the condition itself.

OK, so first of all, a bit of a background on the plantar fascia itself. The Plantar fascia is a large ligament type structure running through the sole of your foot . It runs from the base of your heel and through the arch of your foot, and attaches into the base of your toes up at this end here. It’s quite a large structure. It’s responsible for some of the strength and stability of your foot. Now, if you are suffering with plantar fasciitis, you probably get pain first thing in the morning when you take your first few steps, pain after you’ve been sitting down for a given period, you probably hobble a around for a few steps, then that pain probably drops off a little bit, allowing you to walk a bit more easily. But you probably find the pain last the all day , and you get shooting pains in your foot. A lot of patients will describe this condition as a feeling of stone bruise sensation or a pebble in your shoe right underneath your heel.

Now the treatment that I have the most success with, with plantar fasciitis is with orthotic therapy. But only because I apply some very specific principles into the design of my orthotic themselves. Ok, you may think that all orthotics are the same, but this is definitely not the case. They can vary dramatically. Even if they look the same in appearance, they work differently. It’s like a pair of spectacles.You might have a few different glasses on a table. They all look the same but you put each pair on individually and they work very differently. And the same principles apply with orthotics. I’m just going to outline some basic principles of orthotic therapy, principles which I find are often overlooked. And afterwhich, you’ll probably understand why some orthotics work, while a lot of orthotics fail to help plantar fasciitis.

When an insole is designed, there are two areas of that insole that can create support for the foot. One is the arch contour of this insole, very obvious and traditional. The other is a wedge, a bit like a door stopper that’s place around the inside heel area of the insole. Now, your individual foot function will determine which of these two areas, areas of support you actually need. You might need an insole with a good strong amount of arch support and a tiny bit of heel wedging, or you might need an insole that has a very low and gentle arch support but a lot of heel wedging instead. Okay, let me give you two examples to try and help explain these principles. First of all, I use the example of a foot which collapses . So if the arch of your foot drops or your foot collapses when you walk, then you should not be using orthotics that are designed with arch support. This type of orthotic will push up against the arch of your foot against the fascia, as the arch collapses and will feel like you’re walking on a tennis ball. It will put too much strain on the arch and on the fascia and will aggravate the condition. So this foot type we find will benefit much more from an orthotic that’s designed with gentle arch support. Just a little bit of contact through the arch of your foot but will control the foot instead with that little wedge, with the little door stopper that’s positioned around the inside heel area of the orthotic instead. So basically we are going to support this foot without pushing against fascia.

Now for the opposite foot type, which is the foot with the higher arch, that doesn’t collapse very much. So this foot type will benefit from the opposite type of orthotic that is designed with the very full arch and a minimal amount of heel wedging.

Continuation of Transcript here: http://www.sydneyheelpain.com.au/how-...

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