Plantar fasciitis, the most common cause of heel pain, is an inflammation of the connective tissue called the plantar fascia that runs along the bottom of the foot, from the heel to the ball of the foot. The condition accounts for 11 percent to 15 percent of all foot symptoms requiring professional care and affects one million people annually in the U.S.The therapeutic effect of acupuncture at Xuanzhong (GB 39) combined with Chinese herbs pyrogenic dressing therapy on calcaneus spur is superior to that of common acupuncture.(Zhongguo Zhen Jiu. 2010 Mar;30(3):189-91)

Heel pain, plantar fasciitis or heel spur syndrome is caused by an abnormal and excessive pull of the plantar fascia at its insertion. Morning pain and pain after periods of rest is characteristic and can progress to pain all the time. 90% of patients with Heel Pain can be treated successfully without surgical intervention. Treatment of heel spurs can be a difficult problem. Non-surgical treatments are always attempted. These treatments include shoe inserts, splints, and medications. If these treatments do not relieve the pain, should the heel spur be removed? In most cases, the answer is no. Removing a heel spur is usually not done for treatment of heel pain. common used acupoint: Kun Lun (Bl 60), Shen Mai (Bl 62), Tai Xi (Ki 3), and Zhao Hai (Ki 6). Auxiliary points included: Jue Gu (GB 39), Pu Can (Bl 61), Shang Qiu (Sp 5), and Qiu Xu (GB 40).

Zak acupuncture treatment is aimed at reducing the soft inflammation tissue via intensive acupuncture therapy.

Of course,If zak acupuncture fails, surgical intervention may be required. Treatment can be rendered via endoscopic plantar fasciotomy .Recovery is approximately two months.

Non-operative treatment strategies for plantar heel pain have been evaluated in outcomes studies by a number of investigators. The results of these studies are contradictory, and conclusions must be made cautiously. The reasons for such skepticism are the following:

1. True outcomes research has yet to be conducted in this area, following accepted methodology and utilizing appropriate measurement techniques.

2. Assessment of a successful outcome of treatment will vary significantly depending on whether the patient versus the clinician provides the final analysis.

3. Patients with plantar heel pain have poor expectations for total, permanent pain relief when they present for treatment.

4. Clinicians can use treatments that require up to 24 months to achieve success, yet conclude such treatments are effective.

5. The longer a patient has symptoms prior to treatment, the less likely any non-operative treatment is going to be successful.

Although comparisons between studies are difficult to make, some findings appear worth noting. Specifically, those groups of patients with plantar heel pain, treated promptly with low-dye taping and custom functional foot orthosis therapy, had the most favorable outcome of treatment.

Zak website:www.backachetherapy.co.uk

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Patient has only had the pain for about 6 months. he is only 45 years old, and it is complicated by having plantar fasciitis, which has a spur but not pointed in the decoration for surgery just yet. he would like to know the right questions to ask him/her. he has heard some horrible stories about surgery and wanted to know what the alternatives are.

Zak said:From the information given I would say that you has suffered what is sometimes called a fat pad inflammation behind ankle which could lead to plantar fasciitis pain and have been present before the back pain. The overweight and back pain (L4,L5.S1) could aggravate and bring about more symptoms from this pre-existing problem.So treatment of ankle area is first choice for you.I would agree that physical therapy, intensive acupuncture can be helpful.Good luck!
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Radial extracorporeal shock wave therapy (rESWT):Shock wave therapy is a newer form of nonsurgical treatment. It uses a machine to generate shock wave pulses to the sore area. Radial shock waves apply the energy at a specific point of tenderness and then the force of the vibration spreads out over a larger area. The pattern of vibrational energy released looks like the shape of a megaphone.rESWT is a safe and effective outpatient treatment that works quickly and offers patients an alternative to surgery. Athletes with plantar fasciitis can get back to their sports participation without delay. It is recommended for patients who have not benefited from other types of conservative care before considering surgery as the next treatment option
Source: American Journal of Sports Medicine. November 2008. Vol. 36. No. 11. Pp. 2100-2109.

Custom-made insoles known as foot orthoses can reduce foot pain caused by arthritis, overly prominent big toe joints and highly arched feet, a new systematic review shows.
really?

According to a study presented today at the annual meeting of the Radiological Society of North America (RSNA).Combining an ultrasound-guided technique with steroid injection is 95 percent effective at relieving the common and painful foot problem called plantar fasciitis

High-heels Linked To Heel And Ankle Pain
ScienceDaily (Sep. 29, 2009) Women should think twice before buying their next pair of high-heels or pumps, according to researchers at the Institute for Aging Research of Hebrew SeniorLife in a new study of older adults and foot problems.