♪ Bob and Brad ♪
♪ The two most famous ♪
♪ Physical Therapists ♪
♪ On the internet ♪
- Hi folks, I'm Bob Schrupp, Physical Therapist.
- Brad Heineck, Physical Therapist.
- And we are the most famous physical therapists
on the internet.
- In our opinion, of course, Bob.
- This video's a part of a series of videos
on plantar fasciitis.
If you'd like to see the entire series,
go to bobandbrad.com, and you'll find it there.
Also, there's a printout that comes along
with this particular video,
that you can have for your convenience.
- Right, watch the video
and have it later on for check-off.
You don't have to keep coming back.
- Top three signs that--
- Then they don't have to look at us!
- That's right, it's a lot easier.
Top three signs you have plantar fasciitis.
Number one, there's gonna be pain in the arch.
Typically, I've got kind of a fascia drawn here.
Boy, my feet got dirty-- - Oh, Bob!
- walkin' around on it.
So, generally the pain is quite often right here
on the inner arch.
Initially, when you injure the plantar fascia,
which we think is some minor tears,
a lot of time the whole arch hurts.
To start off with. - Sure.
- I have a friend that just did this
and his whole arch was sore,
no matter where I pushed on it.
But, eventually it usually seems to kind of
focus on that area where the main part of the stress is.
- [Brad] Usually on a patient I will push,
I'll start pushing around the area,
and usually there's one spot that really is a trigger-point
and that's where the tear is.
But, the pain can refer out and it depends on how bad,
but it's typical.
- [Bob] Right, Number two.
After sleeping overnight generally the pain improves.
It also improves when you're sitting.
Like if you sit for quite a while--
- Takin' weight off of it.
- The pain goes away.
But, comes roaring back rapidly,
sharp or intense after a few steps.
That's kind of the tell-tale sign of plantar fasciitis.
So, if that's happening, pretty (stutters)
sign you have plantar fasciitis.
- Sure, you bet.
- And generally, after you've been up on it a while
a lot of the times the pain somewhat diminishes.
- Yep, usually by the end of the day people say,
as a matter of fact, I've got a patient he's a carpenter,
and it's painful in the morning.
He says by the end of the day it's not so bad,
but next morning he gets out of bed, wow!
- And it starts all over again.
All right, so we told you top three signs
you have plantar fasciitis.
How about top three signs
your foot pain is not plantar fasciitis.
One, it's not tender over the arch.
Let's say it's tender over the heel,
or the back of the heel.
Then it's more of an Achilles tendinitis
or a heel spur, something like that.
Two, it gets worse as you walk on it.
So, as the day goes on it gets worse and worse.
In that case, then it might be more of a bursitis,
a heel spur, could be arthritis.
As you get older your fat pad here,
there's a pad on your heel,
it tends to thin out and that can give you problems too.
It can make the heel very sore.
All of it again goes back to the fact that
it's not gonna be sore in the arch,
it's gonna be sore more in the heel.
Number three, if it's tender over the sides of the heel.
Yep, and you can do what we call the squeeze test.
Just squeeze right here.
If that hurts, that shouldn't hurt.
And that can be a calcaneus fracture,
that could be a fracture of that bone there.
And as you get older sometimes it doesn't take much
to just land on that kind of hard
and if you're a little bit of osteopetrosis
that actually could cause a fracture.
So, if that does hurt
you're gonna want to monitor it
and have your doctor take a look at it.
- [Brad] Right, that's one of those things
that you're gonna have to have a scan or an x-ray.
Could be a stress fracture--
- Could be a stress fracture.
- Could be a stress fracture in the--
- Absolutely, yep, absolutely.
- And that comes without even trauma
just from repetitive use.
- That could be a runner
could even get a stress fracture there.
OK, again, watch the rest of the videos in the series
to get the complete understanding of plantar fasciitis.
- There you go, it's gonna help
and we're gonna need to get you back on your feet again.
- Thanks for watching.
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