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Dr. Tyler Panko

Is it Plantar Fasciitis?

Is it Plantar  Fasciitis?
InkedPlantar Fascia LI
InkedPlantar side view LI
InkedTibialis Posterior LI

Many times, pain in the bottom of the foot or heel can be pushed into a blanket diagnosis of “you have plantar fasciitis”. But is it plantar fasciitis? Could it be another condition like tibialis posterior tendonitis, stress fracture in the heel, radiating pain from the low back? While getting a blanket diagnosis of plantar fasciitis based on zero exam with some basic rehab and soft tissue techniques thrown at it may work, there is a good chance it probably will not. You must know what you are aiming at. And in the same boat, what is causing the plantar fasciitis? Just because there is pain and inflammation in the plantar fascia does not mean that the CAUSE of the pain is coming from that area as well. In fact, it rarely does. This is why seeking out help from sports chiropractor or physical therapist is important to get a proper diagnosis and most importantly find out the main cause of the pain.  

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Dr. Sam Reals

The Rehab Teeter-Totter

Rehab-Teeter-Totte_20201123-192342_1 The Rehab Teeter Totter

Understanding Pain

When patients present with pain, we can usually put each patient in one of two categories: they weren’t doing enough activity, or they were doing too much. Let’s give you two examples. The most obvious is in the springtime, when the weather is nicer, people will take up running; but this is after not running for months because of the season and weather. When the person tries to run the same amount of miles, or as fast as they did prior to their hiatus, is when they get in trouble. This is a simple case of "too much, too soon": the amount of excessive load on the tissues causes strain and will send a signal to the brain for help because something is wrong.


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