The Real Meaning of Arch Support

Medial-Longitudinal-Archby Dr. Ray McClanahan, D.P.M.

Originally published on
https://nwfootankle.com/foot-health/drill/2-articles/113-arch-support

In order to understand the treatment of rendering an arch support, one must understand the architectural principle of an arch, and liken that principle to the multitude of arches that naturally occur in the human foot. When you study the structure of the foot and the shapes of the bones of the foot, you quickly realize that most of the weightbearing bones of the foot, are indeed arches themselves by being shaped to have support ends at either end of the bone and an open space or boney arch in between the support ends of the bones.

For the purposes of the current discussion, we will concentrate on what might be considered one of the primary arches of the foot, sometimes called the medial (inside of the foot) longitudinal arch, the arch that spans between the rearfoot or heel bone and the forefoot or ball of the foot and toes.

Webster’s dictionary defines an arch as “a curved structure that supports the weight of material over an open space.” Said another way, an arch is a structure that is able to support weight over an open space, by providing support on either end of that open space.

Applying this logical definition to the arches of the foot necessitates support on either end of the arch, and is exactly the opposite of the type of “arch support” that is available to consumers, either over the counter (i.e. Dr. Scholl’s or similar product), or from their healthcare professional (footbed, arch support, orthotic). These products attempt to “support” the arch, not by supporting the ends of the foot arch, but rather by lifting up under the open space of the foot arch. This does not make sense.

True support of the arches of the foot would suggest that the ends of the arches, on either end of the foot’s open space are the structures to be supported. This would mean that the heel and the forefoot joints (metatarsophalangeal joints and interphalangeal joints) are the structures that should be supported, and not the structures in between the ends of the arch.

Current footwear available to consumers is improperly positioning the support ends of the arch, by elevating the heel, which is one end of the arch, and unnaturally pinching the toes and holding them above the ball of the foot (metatarsophalangeal joints), which is the other end of the foot arch.

True support of the foot arch would then necessitate getting the heel bone (calcaneus) flat on the ground to provide support for the rearfoot support end, as well as getting the toes flat on the ground as well, so that the toes can help the ball of the foot to provide support for the other end of the foot arch in the forefoot.

Individuals who grow up barefoot, naturally have the support they need for both ends of their foot arch, and this is likely part of the reason why their foot arches function perfectly throughout their lifetimes, and their feet do not break down, unlike 80% of Americans who by nature of their habitual shoe wearing and compromised arches, will suffer some form of foot problem at some point in their lives.

This is not to suggest that we should all ditch our shoes and begin walking around barefoot, but it does suggest that our shoes are made improperly and are the cause of the arch problems and the associated deformities that many Americans experience. Read more

Dreamclinic is a Health and Wellness company committed to sharing information about commonly experienced health conditions and how they may be impacted through the use of bodywork and other natural approaches. Dreamclinic offers massage, acupuncture, and Reiki sessions at its Greenlake and Queen Anne clinics, as well as onsite massage at workplaces around Puget Sound. Contact us to learn more about how Dreamclinic can help you, your family or your workplace experience greater health.

Original article:
https://nwfootankle.com/foot-health/drill/2-articles/113-arch-support
Reposted with permission of the author.

Image: www.posturologyblog.com

Plantar Fasciitis Treatment

by Diana Khoury

Plantar fasciitis (pronounced “plantar fash-ee-itis”) is an inflammation of the plantar fascia – the long, flat ligament that runs along the sole of the foot. The plantar fascia extends from the five toes, down through the arch and attaches to the heel. Symptoms of plantar fasciitis include pain in the heel and/or arches and tightness of the calves. Plantar fasciitis causes pain while walking or exercising and can significantly impact one’s daily functioning if left untreated.

plantar-fasciitis

Causes

Plantar fasciitis occurrence may be classified as an acute strain or a repetitive stress injury.1 Factors which can contribute to plantar fasciitis are:

  • Abnormal step (sinking towards the inner or outer edge of arches)
  • Tight calves and feet
  • Improper athletic training
  • High, low, or flat arches
  • Foot weakness
  • Shoes that fit incorrectly
  • Prolonged walking, standing, or athletics

“Plantar fasciitis is basically caused by chronic irritation of the arch of the foot due to excessive strain. If the arch of your foot is like a bow, think of the plantar fascia as the bow’s string. The plantar fascia, along with several muscles both in the foot and in the leg, supports the arch and makes it springy. Too springy, and the foot flattens out, overstretching the plantar fascia. Not springy enough, and the plantar fascia absorbs too much weight too suddenly.”2

Treatment
Plantar fasciitis should be diagnosed by a medical professional. After proper evaluation (of patient’s foot structure, shoes, activity level), a treatment plan often includes rest, ice, ibuprofen, stretching exercises, new shoes, arch supports, or more expensive options such as orthotics, night splints, or cortisone injections. Surgery is recommended only in the worst cases where conventional treatments are unsuccessful.

If you experience pain in your heel(s) or arches, or have been diagnosed with plantar fasciitis, regular stretching can help. According to one study, 83% of patients in a stretching program were successfully treated for plantar fasciitis, and 29% of study participants cited stretching as the most helpful treatment.3

The objective of a plantar fasciitis treatment plan is to reduce pain and prevent reoccurrence, so the patient can resume a normal activity level. Treatment may last from 6-18 months for pain to be significantly reduced or eliminated. Consistency in following treatment protocols is essential for successful healing and pain reduction.

Acupuncture and Massage


Research has proven acupuncture to be successful at reducing the pain and inflammation of plantar fasciitis when paired with conventional treatment. A PubMed abstract says, “acupuncture coupled with conventional treatments provided a success rate of 80% in chronic plantar fasciitis which was more effective than conventional treatments alone. The effects lasted for at least six weeks.”4

Massage is another complementary method for relieving the pain of plantar fasciitis. “Deep tissue massage loosens muscle tissue, removes muscle toxins, and ensures proper circulation of blood and oxygen to the injured area. Deep tissue massage works because it physically breaks down the adhesions that are formed by tissues in the muscles caused by over exertion or strain.”5 As a result, the patient experiences less pain and increased ease when walking, standing, and participating in daily activities. Although lasting treatment takes time, patients have reported feeling partial to full relief from the pain of plantar fasciitis after a series of massage sessions.

This is an original article from Dreamclinic, Inc. Dreamclinic is a Health and Wellness company committed to sharing information about commonly experienced health conditions and how they may be impacted through the use of bodywork and other natural approaches. Dreamclinic offers massage, acupuncture, and Reiki sessions at its Greenlake and Queen Anne clinics, as well as onsite massage at workplaces around Puget Sound. Contact us to learn more about how Dreamclinic can help you, your family or your workplace experience greater health.

References:
1. http://www.jadeinstitute.com/jade/plantar-fasciitis-acupuncture-treatment-heel-pain.php
2. http://saveyourself.ca/tutorials/plantar-fasciitis.php
3. http://www.aafp.org/afp/2001/0201/p467.html
4. http://www.ncbi.nlm.nih.gov/pubmed/23227789
5. https://www.pacificcollege.edu/acupuncture-massage-news/press-releases/842-.html
Image: http://www.heel-that-pain.com/plantar_fasciitis/index.php

Other Resources:
1. http://www.heel-that-pain.com/plantar_fasciitis/index.php 

2. http://emedicine.medscape.com/article/86143-overview#showall
3. “Plantar Fasciitis is a Common Cause of Heel Pain,” Healthlink/Medical College of Wisconsin. April 12, 2001. http://healthlink.mcw.edu/article/987116429.html