You can easily develop a plantar plate Tension, if you are over-pronating when walking or running. You may find that you have a slow recovery from the problem. If you do not know what it is all about, you should visit a doctor for diagnosis and treatment. If you are suffering with plantar fasciitis, you will need to have your plantar plate adjusted. The adjustments may include putting inserts in front of the arch to straighten the foot out.
The plantar plate or the heel bone attached to the big toe has two parts: the tendon and the cartilage. Tendonitis means the cartilage is wearing off due to inflammation. When the tendon is tight the ball of your foot rolls inwards. This tightens the ligament around the heel bone. If you do not get the right stretching at the plantar plate, then the tendon may rupture causing severe pain in the foot.
With the plantar fascia, the ball of your foot, lies between the ball of the foot and the bottom of the toes. The plantar fascia is a complicated structure made up of bundles of collagen. It is a tough connective tissue and can be quite fragile. When the fascia is inflamed, it tightens the tendon and starts tearing at the ball of the foot.
When you have plantar fasciitis, the pain may start on one side and then it spreads to the other side. There is a sudden onset of pain in the heel. Pain is most frequent at night after sleeping. The condition is usually diagnosed by a physician who inserts a finger in the plantar fascia and feels a soft tissue. If you feel a lump, then you might have ruptured it. If you cannot feel a lump, then your doctor can insert a finger in the ligament and feel it.
People with plantar fasciitis tend to wake up with severe pain. Resting only gives temporary relief. When you are sleeping, the plantar fascia stretches, which will result in pain. This may lead to a chronic condition called tibial tubercle impingement syndrome.
When you wake up with plantar fascia pain, you should not ignore it. You should try resting the affected foot. However, there is no magical cure for plantar fasciitis. Treatment is always preventive. Prevention is always better than cure.
Treatment for plantar fasciitis involves removing the swelling and inflammation. Resting the plantar plate in an elevated position and taking anti-inflammatory medication may be suggested. This will reduce the pain and help you resume daily activities. Surgery, if required, may be recommended in very severe cases of plantar plate to joint pain.
Surgery for plantar plate to joint pain involves removal of the inflamed portions of the plantar fascia and ligament by means of arthroscopic procedure. The plantar plate is removed and placed in a cast or in a plaster cast. Local steroid and/or local anesthesia may be used to reduce the pain. Tissue construction and muscle strengthening techniques may also be used to rehabilitate the plantar fascia and surrounding muscles. Surgery is often a last resort for plantar fasciitis and should only be considered when all other treatments have failed.
Anti-inflammatory medication can be used for pain management along with the plantar plate and the affected area is kept warm. Ice can also be used to reduce swelling and inflammation. If the pain is not too severe, the plantar plate can be replaced. Depending on the severity of your condition, you can use the techniques outlined below for long-term treatment of plantar plate mtp.
Non-weight-bearing exercise should be performed as much as possible. This will decrease stress on the plantar fascia, which should relieve the pain. This type of treatment can help maintain or even improve your flexibility. This will help in the long run since the plantar plate is less likely to become inflamed.
The foot should be kept straight during walking and should be relaxed. It is important to keep the weight off the plantar fascia while the body is still in motion. One has to make sure that they maintain good posture and do not slouch when sitting for long periods of time. The muscles of the buttocks, hips and thighs should be maintained in a relaxed state during the day. Regular stretching exercises are also important to keep the muscles in your legs, feet and buttocks mobile.