Plantar fasciitis and thyroid dysfunction

2019-06-14 Health No comment

Plantar fasciitis is characterized by sharp heel pain that occurs during the first step in the morning or when it rises after a break. Fasciitis is caused by microscopic tearing in the plantar fascia, which is a long connective tissue structure. The teasing of the fascia band causes inflammation and temporary deterioration. The plantar fascia consists mainly of collagen, but also includes elastin and long carbohydrate chains called glycosaminoglycans or GAGs. The organized collagen network increases its strength, the elastin allows for stretching, and the GAG ​​attracts moisture and increases elasticity.

Musculoskeletal disorders are often associated with thyroid disease, especially hypothyroidism. Common musculoskeletal disorders in patients with hypothryoidism are muscle cramps, generalized joint pain, cramps and weakness. Specific musculoskeletal disorders, such as adhesive capsulitis and carpal tunnel syndrome, are associated with hypothyroidism. In theory, hypothyroidism may cause the cause of plantar fasciitis to be the same as other musculoskeletal disorders in patients with hypothyroidism. This disease is caused by low thyroid levels, leading to deposits in connective tissue. Thyroid hormones inhibit the production of fibroblasts and the secretion of collagen, elastin and GAG, all of which are important in the connective tissue structure. Low levels of thyroid hormones cause excessive production of these substances, especially GAG that absorbs water.

Increased GAG deposits and additional water increase the space between the collagen fibers. This destroys the collagen network and impairs the integrity of the plantar fascia structure. The weakening of the plantar fascia increases its sensitivity to micro-tearing. Microscopic tearing occurs when the plantar fascia is under excessive stress. This usually occurs under biomechanical conditions, but in weakened plantar fascia, it may occur under normal conditions. Teething causes inflammation and pain. Due to the early disintegration of the collagen network, progression from degenerative conditions may occur more quickly from plantar fasciitis [inflammation caused by drinking] to plantar fasciitis. Plantar fasciitis is a more difficult condition to treat, which makes early diagnosis and treatment crucial.

Eliminating pressure on the plantar fascia is an important early treatment. This can be achieved by wearing support shoes and inserts and avoiding walking barefoot. The heel lift, or the shoes of the small heel, will also withstand the pressure of the arch. The heel cup may help relieve the symptoms, but it will not relieve the pressure on the plantar fascia or improve the condition. Weight loss reduces the pressure on the arch, and unfortunately, weight gain is common in patients with hypothyroidism, and weight loss is often difficult. It is important to stretch the calf and arch during the healing process and a specific stretching protocol should be initiated immediately after diagnosis. Night splints can promote healing and eliminate morning heel pain by stretching the plantar fascia at night.

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