165 Lilly Rd NE, Suite B, Olympia • 360.455-8014

Do you want radiation treatment for plantarfasciitis versus other treatments?

A flyer came in the mail last week from Capitol Medical Center that included an article about radiation treatment for plantarfasciitis.

(Plantarfasciitis is a very painful condition in the bottom of the arch of the foot when the plantarfascia, pictured below, becomes inflamed , causing a lot of pain with walking and standing and significant pain on the bottom of the feet after sleeping or sitting followed by getting up)

plantarfascia

plantarfscia

You can see the link to an advertisement for this on Comstock Physical Therapy’s link page.http://comstockpt.com/links-resources-directory/

I was SHOCKED and SURPRISED that radiation treatment is used for a diagnosis/condition that can be treated safely and effectively with no side effects. Many other treatments are available which treat plantarfasciitis without side effects.  I  researched information  about the level of radiation used for treatment of plantarfasciitis, and found that typically .5 Gy to 1 Gy dosage of radiation is given one time to someone with the heel pain.  (at the bottom of this article, please see the links that you can use to look up this information,   1 Gy = 1 Sv in Xray measurements) .  I also found out that this is higher than the maximum level of radiation considered safe for diagnostic x-rays and CT Scans.

What treatments does science tell us work? The summary linked below mentions shock wave treatment and physical therapy treatments being very good at  treating this condition.

http://www.ncbi.nlm.nih.gov/pubmed/24728397

Here is another very complete rundown of the science about what works to treat plantarfasciitis:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3951039

Many treatments that help relieve plantarfasciitis are mentioned including stretching, rolling your arch over a can and massaging the bottom of the foot.  Physical therapy specifically helps by using the therapist’s hand to move the stiff joints on each other as well as massage the plantarfascia, and giving strengthening exercises to the feet, legs and hips the take stress of the plantarfascia using the muscles to support the legs instead.

Self treatments to help relieve plantarfascia also include these:

calf stretch

Calf and arch stretch using a towel. Consider keeping the towel near the bedside and performing before going to sleep and before taking first steps in the morning. Pull back on foot for 30 seconds 3 times with 30 seconds of rest in between.

 

soup can foot

Roll plantar fascia with can or ball. Consider keeping at the bedside and performing before going to sleep and before taking first steps in the morning. Roll plantar fascia for 1 minute 3 times with 30 seconds of reset in between.

 

 

manual therapy plantarfascia

Manual plantar fascia stretch with cross-friction massage. Stretch and massage before taking first steps for 1 minute 3 times with 30 seconds of rest in between.

 

If you do consider radiation treatment for plantarfasciitis, please ask about side effects, for your own benefit.

 

This link documents the dosage used in one treatment protocol for plantarfasciitis:   http://www.ncbi.nlm.nih.gov/pubmed/23443608

This link documents the level of radiation considered safe:  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2996147/