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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.
Dr. William Booker D.C. holds a Doctorate of Chiropractic from the Cleveland College of Chiropractic, Los Angeles. He completed his undergraduate studies at the University of Virginia, where he graduated with a major in psychology and a minor in Biology. After completing his internship in Philadelphia, Dr. Booker relocated to Arlington to open the first Capitol Rehab inside of Gold’s Gym. Dr. Booker established Capitol Rehab-Arlington as the flagship for what would be the eventual opening of eight additional Capitol Rehabs located throughout Virginia, West Virginia and Maryland.

e 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 pain of plantar fasciitis normally decreases, but may return after long periods of standing or after getting up from a seated position.” Specifically the plantar fasciitis commonly involves the Plantar Aponeurosis, a long tendon in the bottom of the foot, and two muscles, the Quadratus Plantae and the Flexor Digitorum Brevis.

WHY TRADITIONAL TREATMENTS HAVE NOT PRODUCED LONG TERM BENEFIT FOR PLANTAR FASCIITIS
Plantar fasciitis can be a frustrating injury for both the patient and the doctor, with traditional treatments providing mixed results. Historically, traditional treatments including anti-inflammatory drugs, corticosteroids, rest and ice have focused on reducing pain and not correcting the biomechanical flaws associated with plantar fasciitis. A significantly higher level of improvement has been noted when the focus of care has addressed and corrected the imbalances and their associated biomechanical flaws.

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)
Runners Injuries & Plantar Fasciitis
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feet, a tight Achilles tendon, weak muscles of the foot or has suddenly increased training mileage, a repetitive stress syndrome of the foot can occur. is repetitive stress creates three important changes in the soft tissues: • An acute condition in the foot (strains, pulls or tears) • There is an accumulation of small tears (micro-trauma) • And there is a decrease in oxygen to the damaged area (hypoxia) e 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 Feels like a sharp pain, usually towards the heel Is worse first thing in the morning or during the first few steps after sitting for a long period.

Dr. Edward Beck, D.C.
Dr. Beck received his doctorate in chiropractic from Palmer Chiropractic College in Davenport, IA. He completed his Bachelors of Science degree from Concordia University in Exercise Science majoring in Adapted Physical Activity. While at Concordia he volunteered with different organization from the YMHA to the Golden Age Association. After completion of his doctorate degree he worked in Winamac, Indiana with a practice specializing in the Gonstead system of chiropractic. Dr. Beck has completed many hours of certification from the Gonstead seminar based in Chicago, IL.

WHAT SHOULD I DO IF I THINK I HAVE PLANTAR FASCIITIS?
It is recommended that you identify a provider who is trained in Active Release Technique, ideally one who incorporates a functional rehabilitation program. In order to achieve long-term results, the patient must be instructed on home care and self care exercises that address home to strengthen weak muscles and release the overactive muscles as well. If you continue to experience pain and discomfort, consider a second opinion from an integrated practice that incorporates the best in physical therapy, chiropractic and rehabilitation. For more information feel free to visit us at our website, www.CapitolRehabofArlington.com. You may also call us directly at 703.527.5492 or send an email to 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