Struggling with Heel pain?

New Stretch Relieves Pain From Plantar Fasciitis

ScienceDaily (Nov. 13, 2006) - A new stretch is proving quite effective to

help treat and potentially cure plantar fasciitis, a condition that affects

nearly 2.5 million Americans each year. In a study recently published in

Journal of Bone and Joint Surgery, researchers found that patients suffering

from the painful heel spur syndrome had a 75 percent chance of having no

pain and returning to full activity within three to six months of performing

the stretch. In addition, patients have about a 75 percent chance of needing

no further treatment.

The study is a two-year follow-up on 82 patients with plantar fasciitis, all

of whom were part of an original clinical trial of 101 patients in 2003. The

patients were taught a new stretch, specifically targeting the plantar

fascia, that was developed by Benedict DiGiovanni, M.D., associate professor

of orthopaedic surgery at the University of Rochester and author of the

study, and Deborah Nawoczenski, P.T., Ph.D., professor of physical therapy

at Ithaca College.

The stretch requires patients to sit with one leg crossed over the other,

and stretch the arch of the foot by taking one hand and pulling the toes

back toward the shin for a count of 10. The exercise must be repeated 10

times, and performed at least three times a day, including before taking the

first step in the morning and before standing after a prolonged period of

sitting. More than 90 percent of the patients were totally satisfied or

satisfied with minor reservations, and noted distinct decrease in pain and

activity limitations. The most common cause of heel pain, plantar fasciitis

occurs when the plantar fascia, the flat band of tissue that connects your

heel bone to your toes, is strained, causing weakness, inflammation and

irritation. Common in middle-aged people as well as younger people who are

on their feet a lot, like athletes or soldiers, people with plantar

fasciitis experience extreme pain when they stand or walk. Plantar fasciitis

can be a frustrating experience, as the chronic cycle of reinjury and pain

can last for up to one year. DiGiovanni likens it to pulling a hamstring,

and continuing to run without proper stretching. "Walking without stretching

those foot tissues is just re-injuring yourself," he said.

Most physicians will recommend a non-surgical approach to treating plantar

fasciitis, advising a regimen of anti-inflammatory medications, foot

inserts, and stretches. Surgery occurs in about 5 percent of all cases, and

has a 50 percent success rate of eliminating pain and allowing for full

activity.

"Plantar fasciitis is everywhere, but we really haven't had a good handle on

it," said DiGiovanni. "The condition often causes chronic symptoms and

typically takes about nine to 10 months to burn itself out, and for people

experiencing this pain, that's way too long to suffer through it."

DiGiovanni should know. He's experienced plantar fasciitis first-hand.

Deciding to get some extra exercise on a golf outing one recent afternoon,

he carried his clubs around all 18 holes instead of taking an easy-going

ride in a golf cart. The next morning, he woke up with severe heel pain,

which brought the topic of his study close to home.

"We need to further optimize non-operative treatments prior to considering

surgical options," DiGiovanni said. "If you look at the results of the

study, I think we've succeeded