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January 26, 2010

Active Release
Technique
Runners Injuries & Plantar Fasciitis

By Dr. William Booker, D.C. and Dr. Ed Beck, DC

WHAT IS PLANTAR FASCIITIS?

Plantar Fasciitis is one of the most common causes of foot and heel pain. It
involves pain and inflammation of the tissue that runs along the bottom of the
foot connecting the heel bone to the toes. Plantar fasciitis is caused by
biomechanical flaws in the foot that eventually leads to repetitive stress or micro
trauma of the plantar fascia.

Dr. William Booker D.C. The Mayo Clinic describes plantar fasciitis as “causing stabbing pain that usually
occurs with your very first steps in the morning. Once your foot limbers up, the
Dr. William Booker D.C. holds a pain of plantar fasciitis normally decreases, but may return after long periods of
Doctorate of Chiropractic from the standing or after getting up from a seated position.”
Cleveland College of Chiropractic,
Los Angeles. He completed his Specifically the plantar fasciitis commonly involves the Plantar Aponeurosis, a
undergraduate studies at the long tendon in the bottom of the foot, and two muscles, the Quadratus Plantae
University of Virginia, where he
and the Flexor Digitorum Brevis.
graduated with a major in
psychology and a minor in Biology.
WHY TRADITIONAL TREATMENTS HAVE NOT PRODUCED LONG
After completing his internship in TERM BENEFIT FOR PLANTAR FASCIITIS
Philadelphia, Dr. Booker relocated
to Arlington to open the first Plantar fasciitis can be a frustrating injury for both the patient and the doctor,
Capitol Rehab inside of Gold’s with traditional treatments providing mixed results. Historically, traditional
Gym. Dr. Booker established treatments including anti-inflammatory drugs, corticosteroids, rest and ice have
Capitol Rehab-Arlington as the
focused on reducing pain and not correcting the biomechanical flaws associated
flagship for what would be the
eventual opening of eight
with plantar fasciitis. A significantly higher level of improvement has been noted
additional Capitol Rehabs located when the focus of care has addressed and corrected the imbalances and their
throughout Virginia, West Virginia associated biomechanical flaws.
and Maryland.
WHAT IS ART OR ACTIVE RELEASE?

ART is a patented, state of the art approach developed by Dr. Michael Leahy for
treating soft tissue injuries, in particular, repetitive stress and overuse injuries.

WHY DOES ACTIVE RELEASE WORK?

When a person has biomechanical or training flaws such as over-pronation, flat

Capitol Rehab of Arlington : 801 N. Quincy, Suite 130 : Arlington, VA 22203 : 703.527.5492 : @capitolrehab : drbooker@capitolrehab.com
Active Release (part 2 of 2)
feet, a tight Achilles tendon, weak muscles of the foot or has suddenly increased
Runners Injuries training mileage, a repetitive stress syndrome of the foot can occur. This repetitive
& Plantar Fasciitis stress creates three important changes in the soft tissues:

• An acute condition in the foot (strains, pulls or tears)


continued • There is an accumulation of small tears (micro-trauma)
• And there is a decrease in oxygen to the damaged area (hypoxia)

The end result is the production of a tough, thick scar tissue to the affected area.
As scar tissue develops, muscles become weaker, tendons become irritated and
nerves can become entrapped. ART uses a movement based massage technique
that:

• Breaks up the scar tissue


• Increases the functional range of motion
• Increases circulation to the damaged area

HOW WOULD I KNOW IF I HAVE PLANTAR FASCIITIS?

Patients often describe plantar fasciitis as follows:

• Affects one foot more than the other, although both may be affected.
• The pain developed gradually
Dr. Edward Beck, D.C. • Feels like a sharp pain, usually towards the heel
• Is worse first thing in the morning or during the first few steps after sitting
Dr. Beck received his doctorate in
for a long period.
chiropractic from Palmer
Chiropractic College in Davenport, WHAT SHOULD I DO IF I THINK I HAVE PLANTAR FASCIITIS?
IA. He completed his Bachelors of
Science degree from Concordia It is recommended that you identify a provider who is trained in Active Release
University in Exercise Science Technique, ideally one who incorporates a functional rehabilitation program. In
majoring in Adapted Physical order to achieve long-term results, the patient must be instructed on home care
Activity. While at Concordia he and self care exercises that address home to strengthen weak muscles and release
volunteered with different
the overactive muscles as well.
organization from the YMHA to the
Golden Age Association.
If you continue to experience pain and discomfort, consider a second opinion
After completion of his doctorate from an integrated practice that incorporates the best in physical therapy,
degree he worked in Winamac, chiropractic and rehabilitation.
Indiana with a practice specializing
in the Gonstead system of For more information feel free to visit us at our website,
chiropractic. Dr. Beck has www.CapitolRehabofArlington.com.
completed many hours of
certification from the Gonstead You may also call us directly at 703.527.5492 or send an email to
seminar based in Chicago, IL.
DrBooker@CapitolRehab.com.

Dr. Edward Beck is a chiropractor Certified Active Release Technique.


Dr. Bill Booker is a member of the International Society of Clinical Rehabilitation
Specialists

Capitol Rehab of Arlington : 801 N. Quincy, Suite 130 : Arlington, VA 22203 : 703.527.5492 : @capitolrehab : DrBooker@CapitolRehab.com