If you dont know David Weinstock and neurokinetic therapy, you should. David has a very clear approach for assessment and relief, its fast and works very well. Anyway below is a blurb from David, Enjoy! Possible causes of Plantar Fasciitis- Weinstock Exploring CAUSES of Plantar Fasciitis Plantar Fascitis (PF) has turned into a catch-all diagnosis for heel pain. Worse in the morning and improvements with activity are the classic signs. As always, the fact that a structure conveys pain tells us something is wrong, but it doesn’t always tell us exactly what the problem IS. WHY is the plantar fascia so pissed? Why is it barking at you and changing your gait pattern? Typical treatments for PF include muscle release therapy to the calves and plantar fascia with some laser or ultrasound to aid in tissue healing. Some clinics will even pull out a fancy Shockwave machine and claim it’s the “Gold Standard”. Regardless what muscle release technique and auxiliary therapy is used, the premise is the same… “Beat the shit out of local tissues then give them a little TLC (tender love and care) so the body will heal itself back to a pain free state”. Yes, this sounds crude to me too. If only things were so simple. When I was a student in Chiropractic College I had access to a Shockwave machine, aka the gold standard in pounding the piss out of a tissue. I was 0/4 treating patients with PF after 8 sessions. You could call it clinician error, but using a therapeutic jackhammer on the site of pain is pretty dummy proof. Upon graduation I experimented with a variety of techniques in attempts to relieve PF symptoms. Acupuncture was by far the most effective tool I tried, but even this approach rarely provided 100% relief. Something was missing. Enter NKT™. Looking at the body as a whole. The entire system. Questioning WHY the plantar fascia has tightened up. Whats going on higher up? Once you release the plantar fascia, what are you going to do to ensure it doesn’t tighten back up in the future? Reoccurrence rate for such a dysfunction is relatively common. The plantar fascia (in my experience) seems to convey pain when it compensates for stability that is lacking elsewhere in the body. Find the stability issue and just maybe you will find the CAUSE of the problem. Now I’m sure people have had success by releasing the plantar fascia only. When I hear these stories it reminds me of the days when I was 8 years old and my Nintendo wouldn’t work. I would smack the hardware and occasionally this would fix the problem. Results seemed temporary though. If I wanted my Nintendo to work efficiently on a regular basis I would have to diagnose the entire system. Yes, I just compared the central nervous system to Nintendo. Eastern medicine now hates my page. Below are the 3 most common areas of the body I have found the plantar fascia to compensate for. It is thought (by me) that a reduction in neural drive to these areas resulted in the body turning to the plantar fascia for stability. After restoring neural drive and stability to these areas, PF was a thing of the past. 1) Intrinsic foot muscles – We live in a world where we like to use orthotics to compensate for compensations. Sometimes the cushy shoes that support our feet do such a good job that the intrinsic foot muscles get lazy. PF may overwork to compensate. 2) Posterior Chain – For example, if someone lacks hip extensio then the plantar flexors may compensate during the propulsion stages of gait. We shouldn’t be surprised to see the plantar fascia tighten under these circumstances via the Windlass Mechanism. 3) Quadratus Lumborum – Surprisingly, this has been the most common. The ipsilateral core (frontal plane stability to be specific) is often compromised when the PF increases neural drive. LESSON: There are hundreds of ways to release the plantar fascia. I am not sure that any one is better than the other. Whichever you choose, make sure you are not overlooking a stability issue that lingers higher up or you may miss a CAUSE of Plantar Fascitis.
Posted on: Thu, 16 Jan 2014 21:43:12 +0000
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