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Plantar fasciitis is a condition in which the plantar fascia is inflamed. The plantar fascia is a thick ligament located across the bottom of your foot. It connects your toe with your heel bone. This condition is one of the most common orthopedic complaints and it causes pain at the bottom of your heel.
There are several types of treatment available to treat plantar fasciitis, including therapy, surgery, and other procedures. Your doctor will be able to determine the best type of treatment for you.
Physical therapy
Physical therapy is a key treatment for plantar fasciitis. During physical therapy, you will learn exercises to stretch your plantar fascia and strengthen your lower leg muscles, which will help stabilize your walking and lessen the workload on your plantar fascia. Your physical therapist may also use contrast baths, massage, or ultrasonography to help with your long-term healing.
Steroid injections
Your doctor may recommend steroid injections to relieve your pain temporarily, usually for about a month. It will also keep your inflammation down. The steroid medication is normally injected into the tender area or the most painful area of your plantar fascia. However, multiple shots are not recommended as they can weaken your plantar fascia, which can cause it to rupture.
Extracorporeal shock wave therapy
If physical therapy and other methods are not working, your doctor may suggest you undergo extracorporeal shock wave therapy. During this procedure, your doctor directs sound waves to the area of the heel where you experience pain to stimulate healing within the ligament. The sound waves literally “shock” your plantar fascia, which may reduce the pain you experience.
Surgery
Surgery is only performed where other methods have not worked, your pain is severe, or your pain lasts more than 6 to 12 months. There are two types of surgery that can be performed to treat plantar fasciitis:
Plantar fascia release involves partially detaching your plantar fascia from the heel bone to release tension and relieve inflammation.
Gastrocnemius recession is done to lengthen your calf muscle to release stress on the plantar fascia and increase your ankle motion. This procedure is typically recommended if you find it hard to flex your feet even though you consistently stretch.
Your length of stay depends on the type of treatment you underwent. For non-surgical treatments, you should be able to leave Panama within 3 to 5 days. For surgical treatments, you may need to stay in the country for 7 days. For physical therapy, your length of stay depends on the frequency and how many appointments are needed. Your doctor/physical therapist/medical travel team will be able to advise you on this.
The recovery time will vary from person to person, depending on the severity of your condition and the type of treatment you have. With most types of treatments, you can go back to your normal routine within 1-2 weeks. With surgical procedures, you may need to wait for 3 to 6 weeks until you can go back to your normal routine. Whether you have a non-surgical or surgical procedure, it is important to increase the intensity and time of your activities gradually.
After all types of plantar fasciitis treatment, your doctor will give you instructions that you need to follow. These may include medications to take, diet plan to follow, exercises you can do, restrictions, and wound care (for surgical procedures).
After you have fully recovered, it is important that you maintain a healthy weight and you should also try to do low-impact exercises. It is also important that you wear shoes that fit well and support your arch.
Most types of plantar fasciitis treatment are generally effective and safe. However, extracorporeal shock wave therapy has not been shown to be consistently effective. Plantar fasciitis treatment, with the exception of physical therapy, carries some risks and side effects, such as nerve problems, neuroma, recurring heel pain, infection, chronic pain, bruises, numbness, and swelling.
In cases where your plantar fasciitis is not severe, you may be able to take pain relievers, such as ibuprofen and naproxen sodium, to ease your pain and inflammation. Your doctor may also recommend night splints or orthotics as the alternative. Night splints are used to stretch your calf and the arch of your foot while you sleep. Orthotics are custom-fitted arch supports that can help distribute pressure to your feet more evenly.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Situated as a transcontinental entity, the Republic of Panama straddles the geographic crossroads of Central and South America. The inception of the Panama Canal in 1914 propelled this country into an integral position as a nexus between the Caribbean Sea and the Pacific Ocean. Those who are drawn to visit this radiant country find themselves ensnared in a mesmerizing display of cerulean seas, diverse fauna, deserted islands, bountiful coffee farms, and awe-inspiring rainforests.
The Republic of Panama unites the corners of the world, bridging the two American continents as a vibrant transcontinental nation. The construction of the Panama Canal in 1914 marked a turning point, positioning the nation as a crucial crossroad - connecting the vast expanse of Caribbean waters with the Pacific. The travelers who venture into this country discover an array of rewards awaiting them. The breathtaking beauty of sparkling blue waters, a plethora of enthralling wildlife, desolate islands that evoke an air of tranquility, sprawling coffee plantations, and the awe-striking charm of lush rainforests contribute to the diverse and enticing experiences that Panama has to offer.
Over the past several years, the Republic of Panama is steadily gaining renown as a preferred medical tourism hotspot for myriad individuals across Europe and the United States. The medical professionals operating within the country receive their robust education and accreditation from the United States, thus ensuring their expertise extends to the vanguard of their respective fields. The blend of these proficient doctors and superb medical infrastructure, combined with reasonable pricing on a wide range of medical practices, contributes to Panama's appeal for healthcare needs. Whether one seeks remedial treatments or desires elective cosmetic surgery, there are an ample array of high-quality, cost-effective services available in this picturesque country.
In the recent panorama, Panama has noticed a swift surge in its recognition as a prime choice for medical tourism, attracting numerous Europeans and Americans to its shores. Professionally trained and certified in the United States, the doctors in Panama stand at the forefront of their respective medical fields. Contributing to its desirability as a medical tourism hub is the high-quality care provided by these adept medical practitioners, alongside state-of-the-art healthcare facilities. The affordability of medical procedures in Panama further heightens its appeal. From treatments aimed at correcting medical conditions to elective cosmetic surgeries, the striking beauty of Panama, coupled with its comprehensive and affordable healthcare solutions, makes it an ideal medical destination for individuals worldwide.
Known as the most cosmopolitan capital within the region of Central America, Panama City opens the door to a multitude of tropical getaways while donning the hat of a bustling metropolis. Serving as a focal point for trade and immigration within the region, Panama City represents a vibrant blend of diverse cultures; a veritable melting pot where different backgrounds meet and meld.
Being the epitome of cosmopolitan magnificence in Central America, Panama City beams as the gateway to a spectrum of tropical retreats and simultaneously thrives as a bustling urban settlement. It stands as a central hotspot for regional trade and immigration practices, thereby birthing a profusion of cultures. This city, with its diverse cultural influences, serves as a sophisticated melting pot, crafting a harmonious blend of a myriad of cultures.
Some of the more popular tourist attractions are Teatro Nacional, Panamá Viejo, Donde José, and Parque Natural Metropolitano. Although the capital attracts thousands of tourists each year, the most popular destination is Bocas del Toro. Combining a laid-back Caribbean vibe with the incredible natural setting of forests, jungles, and mangrove, this seaside town is where adventure and relaxation meet. Surfing and snorkeling are extremely popular in this town. However, the real talking point is relaxing in a secluded cove which can only be reached by water taxis.
The primary international portal into Panama is the Tocumen International Airport, serving as a critical regional hub for flights moving in and out of The Caribbean, as well as North, South, and Central America. Additionally, it accommodates flights from select cities across Asia and Europe. For intra-country travel, domestic flights are the quickest mode of transport; however, the speed comes with a higher price tag.
Road travel presents a more economical alternative, with buses being the most widely used and cost-effective means of transportation across the country. Within the confines of major cities, taxis are readily available for residents and tourists alike.
Tocumen International Airport is the premier international aerial gateway into Panama. This airport stands as a regional transport hub, connecting Panama with destinations across the Caribbean, North, South, and Central America — even heralding flights from certain European and Asian cities. To journey within Panama, domestic flights offer the quickest, albeit pricier, option. For those prioritizing affordability over speed, buses provide a popular and budget-friendly choice.
Further adding to the transportation options in Panama is the accessibility of taxi services. For those traversing within the major urban areas of the country, taxi services make intra-city travel a breeze. These easily available taxis contribute significantly to the efficiency of short distance commutes.
Additionally, getting around within the key city areas in this country is seamless thanks to the taxi services. For intra-city commutes in Panama's principal urban centers, taxis stand as a thoroughly accessible choice for transportation, simplifying movement within the cityscape.
Panama allows citizens of most countries, including all EU citizens and Americans, to visit the country without a visa for 180 days. Some other countries, such as China and the Philippines, need a visa to visit the country. All visitors need to hold a passport valid for at least 6 months.
Citizens of over 100 countries, including all EU nations and the United States, can visit Panama without a visa for up to 180 days.
Nationals of countries not included in the visa-exemption list need to apply for a visa before traveling to Panama.
All visitors must have a valid passport with at least six months remaining validity from the date of entry.
Proof of onward travel may be requested upon arrival.
Situated comfortably within the tropics, Panama's climate is characterized by distinctive wet and dry seasonal variations. Spanning from mid-March through to December, the wet season tends to bring rainfall every alternate day. However, the showers are typically brief and they mainly occur during afternoon hours, but this season also tends to be quite humid. On the other hand, the dry season extends from December until March. Throughout this time frame, the likelihood of witnessing rainfall dramatically decreases, resulting in overall drier conditions.
Given its tropical location, Panama experiences two distinct seasons: the wet and the dry. Commencing in mid-March and continuing until December, the wet season brings periodic rainfall, which typically occurs in short, intense bursts during the afternoon. However, tourists should remember that humidity levels can peak during this time. Conversely, the dry season, which stretches from December through March, ushers in a period of minimal rainfall, offering a drier climate.