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Dull ache or burning when you start running?

hip problems

By: Kiara Holmes, ATC

What is your plantar fascia?

Plantar Fascia is a thick, fibrous connective tissue that covers the bottom of the foot from the heel to the base of the metatarsals. The bottom of the foot is termed the “plantar” side, hence plantar fascia. Whenever the body has inflammation somewhere, the subfix “itis” is added to the end of the body part. Plantar Fasciitis is inflammation of the plantar fascia of the foot.

How does it start?

Your fascia can become inflamed a variety of ways. People with flat feet who don’t have the ability to absorb the shock of walking or running can develop it; weak arches may lead to this; weak hips and calves may also lead to this; poor mechanics while running may lead to this. The cause can be functional (how you move) or structural (how your muscles, tendons, and bones are built or conditioned).

What are the symptoms?

  • Intense pain on the bottom of the foot for the first few steps after getting out of bed
  • Dull ache/burning with activity
  • Tenderness along the middle of the arch
  • Pain when standing on your toes
  • Pain and tenderness after much walking
  • Pain at the beginning of a run which gradually subsides after the body is warmed up

Why you DON’T want to ignore these symptoms?

Any time there is inflammation of a tendon, it can become a chronic issue that’s way longer lasting that it needs to be. A cycle tends to be produced to guard from pain by changing the way you run or exercise, which then causes other muscles and joints to take on more work than they’re supposed to, leading to possible injury elsewhere. More specific to the area itself, constant impact can cause small microtears to the tissue, which will take longer to heal. The body, in an attempt to protect the area, starts to deposit calcium to vulnerable areas, leading to heel spurs, which are sharp protrusions of built up calcium at the site. Heel spurs are often treated by steroid injections for pain, but often end up in a surgical procedure to resolve the issue.

So let us get you back to pain free walking, running, and exercise!  We will give you the right guidance and education on proper rest for your injury, and proper progressions to get you back to the level that you desire to perform. Call our office TODAY at 703-450-4300 and CLICK HERE for more on how physical therapy can help you.

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