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// ife le l sty seni o rs Fixing chronic foot pain By Andreas Klein Many of us have had painful feet at some time. Plantar fasciitis is one of the most common causes. Treatment options include rest, supportive shoes, arch supports, orthotics, stretching, strengthening, night splints, antiinflammatory agents or surgery. Although these measures may help, some people still suffer for a long time with little relief, even after trying many of the treatments just mentioned. Plantar fasciitis pain can stop you walking, running, working, playing , and leave you feeling debilitated and frustrated when you can’t resolve it. It is important to note that some other conditions may mimic plantar fasciitis. For example stress fractures to the bones of the foot, gouty arthritis, rheumatoid arthritis, entrapment of the tibial nerve in the tarsal tunnel, tendonitis of foot tendons, bursitis as well as vascular issues (e.g. pooling in the veins of the foot) can have symptoms very similar to plantar fasciitis. These need to be treated differently and may need to be ruled out before treatment. If the problem definitely is plantar fasciitis, then technically, things like overpronation, different leg lengths, lateral tibial torsion, & femoral anteversion may be a cause. But in most cases it is simple micro-trauma to the plantar-fascia itself, from things like ‘overuse’ or ‘excessive weight bearing activities’ that is the most common cause of plantar fasciitis. Such overuse eventually causes injury to the ligaments, tendons and even muscles the foot. These tissues begin to swell with toxin-filled fluids causing connective tissues & nerves in the affected areas to become inflamed and painful. Though the swelling is mostly very localised, it still reduces blood & lymph flow to the affected tissue and this sustains the cycle of inflammation & pain. In most instances the solution lies in: 1. Reducing stressors (temporarily stop running, weight bearing exercise or weight loss, etc) 2. Improving nutrient intake so the body can resist stressors 3. Removing inflammatory build-up in the foot & calf, and lengthening affected muscles and connective tissues Following these simple steps allows foot tissue to heal and return to normal function, and often relieves foot pain completely, even in many long standing cases. Andreas Klein 0418 166 269 Nutritionist & Remedial Therapist BSc, Adv Dip Nut Med, DRM HAWKESBURY DISTRICT INDEPENDENT NEWS www.hdinews.com.au Simply Affordable. Supporting Western Sydney families for over 25 years 98 Station Street, Penrith Ph. 4721 7776 simplicityfunerals.com.au f ISSUE 60 // MAY 2015 29