Hey everybody ! Plantar fasciitis orthotics for the itis or plantar fasciitis is the degenerative part, which we’ll talk about in other videos and kind of discuss more as far as but the what the etiology is of a nidus vs gnosis and really how we should treat plantar fasciitis because of the itis for the OSIS. But well like I said we’ll talk about that in future segments today let’s talk about onyx for fun emphasis call it plantar fasciitis.
Plantar fasciitis foot orthotics
For now, because that’s what most people call it so in a sense with orthotics with plantar fasciitis as a presentation. We’re trying to unload the fossa. We’re trying to do something by mechanically to prevent that posture from stretching. Okay, what that essentially means is that ? If you’re walking and you’re doing this the faja is right down through here Roger goes from the inside part of your heel and goes in five little slips right to each toe.
It’s like this broad band of connective tissue on the bottom of your foot the more. You walk the more you strain it the more. You don’t control your biomechanics the more likely, it is that this fashion can tear and that’s what starts the itis and the scar tissue. You know forms to heal the injured tissue depending on how the scar tissue forms and heels determines. Whether it’s a functional sky or a non-functional scarf and that brings in the whole OSIS debate being a degenerative problem osis is the generation of tissue.
So, but regardless of that but there’s a nidus or no cecile treated the same way with the fox. We’re trying to take some of the strain off the Pasha. So, if you’re walking and this is bowing down you can see. I’m stressing that fashion Bosh is connected from here down to there. So, I’m making it Bo. So, I need something that’s going to hold it up over here.
Okay that’s number one number two from behind. We can actually you know make a post to try to rotate that heel off to the side to in a sense do the same thing the research is a kind of a little bit vague not not too specific. Whether, this actually does do a lot for the facher or whether it doesn’t. But a lot of cases we attempt it and it does well for people some. They do just a neutral here.
Where it’s nice and flat and we get you know just as good a result. Okay what research does tell us ? This is counterintuitive to some things somewhat i twist doing some therapists do is that we post the orthotic meaning. We keep the orthotic thicker on the outside and then we skype it and we knit down. So, it’s thinner towards the big toe. Okay fine a lot of therapists do is they load it in the opposite direction.
You have a flat foot that’s rolling in so they really try to build this up. So, it’s higher here than over here for plantar fasciitis. That’s not the best thing to do because research tells us that by having this higher than the outside it actually loads the Pasha more and causes more pain. So, if you’re athanas. Because the way your therapist or your orthotist or podiatrist made it. That’s not the best way to treat plantar fasciitis based upon the evidence that’s out there.
What is the best way to treat plantar fasciitis ?
Okay so it’s just the opposite. We’re trying to in a sense keep this higher over here and keep the big toe lower relative to it. Okay, we call that a valgus post or a lateral post versus a medial post or various post is something that does more like this keeps it big toe higher okay. So, that’s the mechanics of how we would treat it. More than, you look out of your thoughts then we make.
Let’s talk about the first thing you talked about the whole idea good. You got the foot on the orthotic. We’re trying to hug that without a cup to the the mid part of the foot to the navicular, so the dick ulor bone doesn’t drop okay with this one. We actually did angle it about five degrees in the back for somebody was over pronated. Who’s flat-footed and then we’ll be doing the front this is gonna be little bit tougher to see okay is that we keep this lower relative to this over here and then we can see that on the bottom here.
But, I flip this over you can see what I’ve done here so I really ? I’ve kept it thick over here and I’ve skype dit and thinned it down through here. So if you really think about this from a biomechanical standpoint. I guess really almost all most common sense standpoint. If you pick this side up okay pick this side up and let the it the let the first metatarsal go down. You’re actually.
It’s almost like, you’re slackening the tissue okay the whole idea of of this dropping the big toe drop beneath the level of the the platform in Amman here and actually in a sense brings this metatarsal head closer to the heel. If we do this yop sit and raise this up higher. So, this whole foot raises up and we do a post this way. It’s almost like you’re stretching that fasha a little bit more ok.
But like I said the evidence definitely plays out to the fact that the post that we did here takes the pressure off that fasha ok and that some work that was done by them by kogler and in his group so and as far as another option. You can actually go with more of a of a neutral heel over here. And then what I did over here just as another option ? You can actually do a post between two and five so some people have like an issue with their first metatarsal joint ok degeneration or a spur or whatever it just hurts ok ?
So what I do is ? I keep this a little bit thicker you see that a little bit thicker here relative to their. So, I’m still you know keeping that big toe lower than the second toe. But, I’m just not doing as much of that Doug esposa. I did with the with the other one ok and then lastly some people do fine, without anything fancy and they want something that softer against the heel. So, we go with the softer material p cell that’s you know a lighter durometer phone ?
Some products help you fight the pain caused by plantar fasciitis and you can watch the video below :
That’s softer go out the middle air of a poor on which is no material that doesn’t bottom out and never never thins down then go with a nice heel pad and inside here. What I do is ? I grind down the the top cover that a mold to the to the foot and put another layer of this stuff so to really soft through here and then same thing. You’ll hug it up against the mid-foot and not much you know none of the posting that we did in the other two over there so of course what I do is dictated by what the patient’s tried before what kind of shoes.
They have how sensitive their feet are you know how much they weigh how you know how said interior active. They are so there’s a lot of things that factor into this. But, this at least gives you a couple options for what I do in the clinic so and that’s it for orthotics for plantar fasciitis. Please follow TheDukes !