Sunday, May 2, 2010

Healing Heels

From acute injuries and sport or activity over strain, and chronic pain experienced on a daily basis, acupuncture is often sought for heel pain relief.


Heel pain can have many causes, one common one is known as Plantar Fascitis. It’s an inflammation of the band of tendon that runs from the ball to the heel of the foot (the Plantar Fascia). (see picture right)

Poor foot mechanics are often blamed for the cause of the problem. If the foot moves incorrectly, the plantar fascia is overstretched and can tear, becoming weak and inflamed. The pain is usually sharp, severe pain on the ball of the foot.
The good news is that acupuncturists treat this kind of pain all the time. We call it Qi (Chi) Stagnation or Blood Stagnation type pain. Stagnation pain is always more noticeable after lack of movement (i.e. Sleeping). Upon rising the pain is usually intense, then after walking around a little the pain gets less.
Once you get moving, the circulation increases and the pain eases. Acupuncture works to increase the circulation of blood and energy, activating your bodies own healing response to come to the local area. Pain can be eased by the release of your bodies natural pain-killers - endorphins which are often released by acupuncture.

What about the cause of the problem? Inflammation can be treated with acupuncture, simply by “speeding up” the bodies own healing response. By relaxing the local muscles, reliving swelling and getting more blood and energy flow to the injured site, acupuncture can reduce the inflammation and encourage the speedy repair of the plantar fascia.

Not all heel pain is due to Plantar Fascitis. Some heel pain can be from too many ankle injuries and poor local area circulation, or an "unknown" cause. However, Chinese medicine practitioners always make their own Chinese medicine Diagnosis. In treating foot pain, it’s not necessary to have the Western Medicine diagnosis to commence acupuncture treatment.
In my practice, I have found heel pain to be a bit more stubborn and slower to respond, however after 6-8 treatments most patients find a great relief of pain. I have found many heel pain patients experience little or no change in symptoms until the third or fourth treatment. This is not the case in treating pain in other areas where the pain relief is often instantaneous.
If you have heel pain, its worth approaching your acupuncturist with a 6-8 treatment plan in mind. Treatments can be done 2x or 1x a week. Don't leave it longer than one week in between treatments, or effectiveness is diminished. Secondly, points on the heel itself are sometimes used but they can be more sensitive than other points. The overall treatment is not meant to be painful, and you should experience a pleasantly relaxing effect.

No comments: