Monday, October 12, 2009

Plantar Fasciitis Sacks NY Giants Quarterback

During their recent defeat of the Kansas City Chiefs, NY Giants quarterback Eli Manning experienced symptoms of what was later diagnosed as plantar fasciitis. Plantar fasciitis is inflammation along a band of connective tissue that runs along the sole of the foot. Luckily for the Giants, he can return to play concurrently with treatment as long as he is able to tolerate the pain. In general, when athletes experience any set back due to injury, the first question that pops into mind is: How much downtime will I need?
Plantar fasciitis is a condition that has either an acute or gradual onset depending on the cause. Microscopic tears to the plantar fascia may occur abruptly from planting the foot awkwardly while pivoting, or over time from running and walking without ample stretching. A falling of the medial arch due to age, weight gain, unsupportive shoes, and excessive pronation while running may also be contributing factors. The microscopic tears in the fascia may display no symptoms at first, but as they increase in number the plantar fascia becomes inflamed as your body attempts to repair it. One of the most common symptoms is a sharp pain felt first thing in the morning where the bottom of the heel meets the mid-foot. The pain typically subsides to a dull ache throughout the day, and it is often aggravated at the start of a run, while standing long periods of time, and walking in shoes with little to no arch support.
Conservative treatment of plantar fasciitis involves icing, stretching, anti-inflammatory medications, and wearing night splints. Over-the-counter arch supports or custom-made orthotics may be necessary as well. Rolling the foot on a can of frozen juice following activity provides relief for some by stretching and icing the fascia. Always ensure that aggressive stretching (performed with the aid of a towel or resistance band) is done before icing to prevent a severe tear. Taping methods that increase arch support provide temporary relief for athletes; however, early symptoms of plantar fasciitis should not be ignored. When treated close to its initial onset, you can often continue activity with minimal downtime. Though if left untreated, it may progress to the point where steroid injections and more rest are needed. If squeezing your heel simultaneously from side-to-side causes you to jump out of your chair, it’s a good sign that you’ve been sacked with plantar fasciitis. Come on in, and we’ll get you back on your feet before halftime!