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5/18/2017 PlantarFasciitisTreatmentAyurclinicMelbourne

AyurvedicManagementforPlantarFasciitis
ByDr.SajimonGeorgeBAMS.AAA.ATMS
Plantarfasciitisisacommonconditionofpainontheheelorunderthefeet.Thisconditioniscommonin
peopleofage4060years.Prevalenceismoreinmale.Around10%ofthepeoplemighthaveexperienced
thispainatleastonceintheirlifetime.Inthiscondition,inflammatorychangeshappenatthesiteofinsertionof
plantarligamentoncalcanealboneleadingtoscarringandfinallyleadingtodegenerativechangesofplantar
fascia.Maincomplaintofthepatientisheelpainthatwillbeworseduringfirstfewstepsaftergettingupinthe
morningorafterlongrest.Afterwalkingafewsteps,painstarttosubside.Obesity,aging,sedentarylifestyle,
excessphysicalactivityandunsuitablefootwearareknowncauses.Flatfootandabnormallyincreasedarchof
thefootalsoincreasechanceofplantarfasciitis.Inflatfoot,whilewalkingorrunningthereisanincreased
inwardmovementofthesolewhichexertadditionalpressureontheplanarfascia.Plantarfasciaisaligament
connectinganteromedialaspectofcalcaneumorheeltothebaseofthetoessupportingthearchofthefoot
likeabowstring.Inhigharchconditionofthefoot,pressureexertedonthebowstringorplantarfasciais
increasedmanyfoldresultingtodevelopmentoffasciitis.Abovecauses,putexcesspressureoncalcaneal
tuberosity.Modernscienceconsidersthisasanoninflammatorystructuralchange.Imagingtechniquesare
usefultoruleoutcalcanealspurorstressfracture.

Symptoms
1.Painintheheelandundersurfaceofthefeet.
2.Oedema
3.Numbness
4.Redness
5.Burning
Achillestendonstiffness,calfmuscletightness,restrictionindorsiflexionorupwardmovementoffootarealso
feltbythepatientwithplantarfascitis.

Ayurvedicapproach
PlantarfasciitisisrelatedtoVathakandakamentionedinClassicaltexts.Thisisthepainfeltinthefootcaused
bywalkingalongunevensurface.

Treatment
Thisisnotasystemicdiseasebutalocalizeddisease.Nidanaparivarjanaoravoidingcausativefactorsisthe
beginningofthedisease.Thisincludesweightreductionandwalkingalongunevensurface.
Treatmentproceduresdependonthestageofthedisease.
Whenpresentedwithedema,painandredness,dhara(pouringofherbaldecoction),lepa(applicationof
herbalpaste)aredoneinadditiontooralmedication.
1.Dhara
Pouringofsuitableherbaldecoction(Kashaya)/medicatedmilk/medicatedoiltotheheelisveryuseful.
2.Lepa
Suitableherbalpasteisappliedtotheheeltillitgetsdryitself.Whendryitisremovedusinglukewarm
water.Thisprocessisrepeatedmanytimesaday.
3.Rakthamoksha
Whenthereisseverepainandedema,rakthamokshaorbloodlettinggivessuddenrelief.
4.Dahakarma
Whentheconditionisnotrespondingtoothertreatmentprocedures,thendahakarma(Cauterization)is
employed.

Oralmedicines
http://www.ayurclinic.com.au/plantarfasciitistreatment/ 1/2
5/18/2017 PlantarFasciitisTreatmentAyurclinicMelbourne

HerbaldecoctionssuchasAmruthotharamKs,RasnasaptakaKs,MaharasnadiKs,GugguluthikthakaKs
GuggulupreparationslikeKaishoraguggulu,YogarajagugguluandKanchanaraguggulu
Medicatedgheelikegugguluthikthakaghritaareusefulhere.
Veryaggressivetreatmentproceduresmaycauseshrinkageofplantarfatpadwhichgivecushionfunction

YogaandExercise
Yogaposturesprovidingstretchingtolowerextremitiesrelievepainandpreventfurtherepisodeofplantar
fasciitis.
Stretchingandmassageofcalfmuscles,Achillestendon,plantarfasciawithsuitablemedicatedoilgive
betterresults.
Reducephysicalactivitiesresultingstraintofoot.
Properfootwear
Keepbodyweightundercontrol

http://www.ayurclinic.com.au/plantarfasciitistreatment/ 2/2

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