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5/5
Dr. Schehr has been instrumental in managing my pain. I started with her because of Plantar Fasciitis. She was able to relieve my pain and I no longer have issues related to this. I continued to see her because of lower back and knee pain. After 40 years of lower back pain, I am now pain free. She understands her patients and their needs. Treatment is unique for each patient and based on their specific needs. I highly recommend her.
Geralynn E.
Geralynn E.
WHAT IS PLANTAR FASCIITIS?
Plantar fasciitis is inflammation of the deep connective tissue (plantar fascia ligament) on the bottom of your foot which causes pain in your heel.
HOW DOES IT DEVELOP?
- Plantar fasciitis is a type of repetitive strain injury that can be from excessive running or walking, inadequate footwear, and jumping injury from landing.
- A strain injury stretches the tissue excessively (“yanking”), causing microtears, especially where it attaches to the heel bone.
- Sometimes, the irritation of the ligament to the heel bone creates a callus on the bone (heel spur), causing it to become more prominent in the area.
HOW CAN I CAN MANAGE MY PLANTAR FASCIITIS?
- Many treatment options exist, including
- rest,
- stretching of the calf muscles
- strengthening of the ankle and foot,
- change of shoes,
- arch supports,
- orthotics,
- night splints,
- anti-inflammatory agents.
- Using a frozen water bottle and rolling your foot back and forth on top can lessen the pain and inflammation.
- Wearing shoes with a slight heel can lessen the impact to the heel of the foot.
WHAT DOES IT FEEL LIKE?
- Symptoms usually are worse when you take your first few steps in the morning or after prolonged rest, especially walking after you’ve been sitting for a long time.
- It tends to feel better with activity as the day goes on, but worsens again after spending a long time on your feet.
- Symptoms most often occur in the area of the heel itself, but can spread to the entire under surface of the foot.
- The bottom of your foot may feel warm, swollen, and tender to the touch.
WHAT IF I CANNOT MANAGE MY PLANTAR FASCIITIS?
- Plantar fasciitis can restrict the ability and comfort to perform athletic activities.
- It can also hinder jobs, such as nursing, working in food service or as a hairdresser as standing all day can be very difficult.
- The longer the problem continues, the more intense it tends to get, thus more and more difficult to manage.
- Some have resorted to surgery, which can be unsuccessful if the underlying cause is not addressed.
- Be sure to contact Baltimore Holistic Physical Therapy if your symptoms worsen or don’t improve after several days.
HOW CAN BALTIMORE HOLISTIC PHYSICAL THERAPY HELP?
Treating the underlying cause of plantar fasciitis is the key to being able to resolve it. Since it happens from repeated “yanking’ of the tissue in the region, causing tears and then inflammation, the “yank” must be stopped.
Standing, walking and running, in itself, should not cause your plantar fasciitis. Your body was designed to perform these activities… unless your body is not in balance, out of kilter. It could get that way from a prior injury, scar adhesions in that or other parts of the body. It can occur by subtle shifts in your posture due to everyday wear and tear, changing the distribution of pressure over your feet. This may place your body in a position that puts the tissue on a stretch even before you move. So, when you move, it easily “yanks” the tissue.
A thorough history as to the cause of your plantar fasciitis will be taken. As everything in the body is connected, the whole body will be assessed to identify the major factors involved and to remedy the situation as quickly and fully as possible.
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QUESTIONS AND ANSWERS
A: Firstly, I don’t believe in doing what didn’t work before. Many physical therapy practices approach a problem by going to the painful region. Oftentimes, this is a very temporary fix. By taking a holistic, hands-on approach, I understand that your pain may be coming from another part of the body, or even have multiple sources, including posture. By individualizing your treatment, I concentrate on healing and re-balancing the body, to manage your pain and lessen the chance of it returning. Then, I teach you how to manage your posture and movement.
A: Treatments for headaches or other pain from a recent problem will generally benefit from 2 treatment sessions for the first 2 weeks, then 1 session per week. Older conditions will benefit from 2 treatment sessions for the first week and then 1 session per week. Wellness sessions to rebalance and optimize the body for healthy aging range from a single session every month to once every six months and will be recommended on an individual basis.
A: An initial evaluation will take 1 hour. (Scar adhesion or sinus treatments only require 45 minutes.) Most follow-up treatments will be done in 30 minute sessions; multiple body areas may require 45 minutes
A: Any heavy exercise or recreational program should be done prior to the physical therapy or wellness session and then not for 24 hours after, in order for the body to adjust itself to the changes in muscle balance.
A: I will teach you techniques to perform on yourself if there is a flare-up and instruct you on proper body mechanics and ergonomics.
A: It is a facial aesthetics program of wrinkle reduction and facial rejuvenation using hands-on physical therapy and osteopathic techniques which may reduce the signs of aging in the face and neck. A FREE HEALTHY AGING CONSULTATION is available. See Refacée®
A: Wellness programs for healthy aging are not covered by most insurances, but may be reimbursable through a Healthcare Savings Account (HSA). A written bill and receipt will be provided upon your request. Although I do not participate in or bill insurance directly, I will provide a bill for you to submit to your insurance for reimbursement, upon request. As there are many types of insurance plans with each provider, it is your responsibility to understand the terms of your insurance. *Those with Medicare Part B insurance from CMS will only be allowed to be part of the Healthy Aging program, NOT for physical therapy treatment. Please see Payment Terms and Policies.
A: Appointments may be made in the following ways: Please call 410-665-3223 Email: Dr.Susan@baltimoreholisticpt.com
