Plantar fasciitis and peripheral neuropathy in feet
Plantar fasciitis, Causes, Symptoms |peripheral neuropathy in feet, are several different types of feet condition but the most common causes of feet and heel pain are plantar fasciitis and peripheral neuropathy.
Plantar fasciitis is a feet condition that is caused by the inflammation of a thick band of tissue that connects the heel bone to the toes, known as plantar fascia.
Plantar fasciitis and peripheral neuropathy in feet acts as a shock absorber to your foot when walking or running and supports the arch of your foot. When the plantar fascia becomes inflamed, you will feel pain when standing, walking, or running.
According to reports, about 1 in 10 people will have heel pain that is most commonly associated with plantar fasciitis in their lifetime.
Approximately 2 million people in the United States will suffer from plantar fasciitis. About 83 percent of adults between the ages of 25 to 70 will experience plantar fasciitis at a point in their lifetime.
Plantar fasciitis and peripheral neuropathy in feet is one of the most common causes of heel pain. This is because the plantar fascia ligaments experience a lot of wear and tear each day due to the frequent use of the feet for standing, walking, or running. When there is too much pressure on the feet, it could damage or inflame the plantar fascia ligaments, leading to pain.
Causes of plantar fasciitis
Plantar fasciitis is more common in women than in men.
Possible causes of plantar fasciitis include:
Older adults between the ages of 40-70 are at higher risk of developing plantar fasciitis.
People who are obese or overweight are at higher risk of developing plantar fasciitis due to the increased pressure exerted on the foot and heel.
People who are involved in activities that require frequent running and running long distances are at higher risk of developing plantar fasciitis.
People who are involved with daily activities or jobs whereby they need to keep standing, walking, or running for a long period of time may develop plantar fasciitis.
Wearing bad shoes
Wearing shoes with poor arch support, shoes with very soft soles may also lead to plantar fasciitis.
Structural foot problems
People with structural foot problems such as high arches, flat feet, may develop plantar fasciitis. If your Achilles tendons are very tight, it may lead to plantar fasciitis.
Symptoms of plantar fasciitis
The most common symptom of plantar fasciitis is pain at the base of the heel or sometimes felt at the base of the mid-foot. You will likely feel the pain developing gradually over time. The pain could be a sharp, dull, or burning pain.
The pain of plantar fasciitis is most felt in the morning immediately you step out of your bed. It is also highly felt after a prolonged period of sitting down or lying down before standing up.
If you engage in prolonged standing, walking, or running, the pain could escalate and become severe due to increased irritation or inflammation of the plantar fascia. You may not also feel the pain when you’re involved with activities, you may start feeling the pain after you have stopped the activities.
Pain of plantar fascia increases over time; hence it is recommended that you seek treatment on time before the condition gets worse.
Diagnosis of plantar fasciitis
During diagnosis, your doctor will perform a physical exam of your foot to check for tenderness and the exact location of the pain. You may be asked to flex your foot to evaluate the nature of the pain.
The strength of your muscles and nature of nerves will be evaluated. Your standing and walking coordination and balance will be evaluated.
Your doctor may also recommend that you undergo an X-ray or MRI scan to check the internal structure of your heel and feet for any abnormalities or injury.
Treatment of plantar fasciitis
When plantar fasciitis is at its early stage, it can be treated with home remedies. Plantar fasciitis at its worse stage whereby you feel frequent and severe pain will require medical treatment. The best medical provider you should seek for treatment for plantar fasciitis is a podiatrist. Podiatrists are specialized doctors of foot health. They have all the background and expertise to treat and manage plantar fasciitis.
Home remedies treatments include:
Taking a long rest can help alleviate pressure off your heel and foot. Avoid standing walking, or running for a very long time. Take some minutes out to rest after engaging in activities for a few hours.
Applying ice packs to the affected area can help numb the pain and reduce inflammation.
The use of anti-inflammatory medications can be used to relieve pain and reduce inflammation.
Use of corticosteroids injection
Injecting corticosteroids into the damaged area of the ligament can help reduce inflammation and pain.
Engaging physical therapies such as stretching and other specific types of physical therapies can help stretch out your plantar fascia and Achilles’ tendons. Physical therapies can also help strengthen your leg muscles, stabilize your posture when standing and walking.
Shock wave therapy
Shock wave therapy is needed when home remedies and other conservative treatments. During this therapy, sound waves are directed into your heel to stimulate the healing of the plantar fascia ligament.
Surgery is the last resort when other treatment options have failed to yield results. You may undergo plantar fascia release surgery to release the tension of the plantar fascia. This surgical procedure helps to relieve pain and restore flexibility to your foot.
The peripheral nervous system is a network that connects the nerves from your brain and spinal cord or the central nervous system to the rest of your body. The nerves transmit signals throughout your body to your brain.
When the nerves malfunction due to damage, they no longer send signals and sensations to the brain or the nerves can send incorrect signals and sensations to the brain. This condition is known as Plantar fasciitis, Causes, Symptoms |peripheral neuropathy in feet. The nerves can begin to send pain signals even when there is nothing causing the pain. Also, the nerves may not send pain signals to the brain even when there is something harming your body.
Peripheral neuropathies are classified by the type of nerve that has been damaged.
Causes of peripheral neuropathy
There are several causes of peripheral neuropathy. These include:
- Family history
- High blood pressure
- Older adults over the age of 40 are at higher risk
- Kidney disorders
- Hypothyroidism (inability of the body to produce enough thyroid hormones)
- Diseases causing chronic inflammation
- Deficiencies in vitamins E, B1, B6, and B12
- Physical trauma or injury to the nerve
- Toxic chemicals
- Autoimmune disorders
- Certain medications
Diagnosis of peripheral neuropathy
During diagnosis, your doctor will review your medical history and perform physical examinations to evaluate the nature and root cause of your condition. You may also undergo blood tests to measure the vitamin and blood sugar levels.
Your doctor may also recommend that you undergo an X-ray, CT scan, or MRI to detect if you have tumor or anything is causing harm to the nerve. Your doctor may also order a nerve biopsy for examination.
Treatment of peripheral neuropathy
Treating the root cause of the condition helps to improve the condition. For example, if diabetes is the cause, treating diabetes can help to improve the condition of peripheral neuropathy.
There are several ways to treat peripheral neuropathy. These include:
Use of Over-the-counter (OTC) pain medications
Taking OTC medications such as acetaminophen (Tylenol) can help relieve pain.
Nonsteroidal anti-inflammatory drugs
Taking nonsteroidal anti-inflammatory drugs such as aspirin and ibuprofen can help relieve pain. However, avoid taking them for a long period of time as they could affect your liver or optimal functioning of your stomach if taken for a long period of time.
Prescription medications from your doctor can also help to control the pain. Prescription medications such as narcotics, some antiepileptic medicines, and some antidepressants can help relieve pain and improve the condition.
Depending on the underlying cause of peripheral neuropathy, there are several medical treatments and procedures that your doctor can use to relieve pain and improve your condition.
Transcutaneous electronic nerve stimulation (TENS)
Transcutaneous electronic nerve stimulation (TENS) involves the placement of electrodes on your skin to send small amounts of electricity into your skin. This procedure helps to disrupt nerves from transmitting pain signals to your brain to prevent you from feeling pain.
Other treatment options include:
- Chiropractic care
- Moderate and regular exercise