Plantar “Fasciosis” Fasciitis and EPAT® 

Hitting the reset button on healing. 

Our FASMA doctors hear and see the frustrations caused by plantar fasciitis every day and would like to shine a new light on the injury.  Many of us have experienced this injury ourselves.

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a band of connective tissue beginning on the bottom of the heel bone and extending to the ball of the foot. In a sense, it behaves as a shock absorber for the foot. 

This condition has historically been known as plantar fasciitis, suggesting an inflammatory process of the fascia.  In fact, it is an overuse condition, which leads to degeneration and microtears of the fascia. The more accurate name for the condition is plantar fasciosis, which indicates degeneration, not inflammation.  It is also often referred to as heel spur syndrome. Although heel spurs may be seen, they often do not play a role in the symptoms. 

Treatment has included methods to decrease inflammation, such as oral anti inflammatories, rolling ice bottles in the arch and steroid injections. 

Take a step back….  If this is not an inflammatory condition, but instead a degenerative condition, then why are we trying to reduce inflammation?  

Rethink inflammation.  The body’s normal physiological response to an injury is to create inflammation. Some inflammatory chemicals are called growth factors and are essential for healing

How about recruiting your body’s ability to heal?

The first phase seen after an injury is the inflammatory phase and lasts 5 days.

The inflammatory phase is known to be the most important part of healing. 

The inflammatory factors slowly dissipate after those first 5 days.

Wouldn’t it be great if we could hit the reset button on the inflammatory phase of healing? 

This is where EPAT® comes into play.

Wouldn’t it be great if we could hit the reset button on the inflammatory phase of healing? 

FIND OUT MORE!

 

 

Dr. Lee Firestone works in our Chevy Chase, MD and Washington, DC (2021 K Street) office for your convenience.

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