Plantar Fasciitis, Fibromyalgia, Tai Chi & Qigong
Monday, February 9th, 2009Q. Jeff asks: I have plantar fasciitis in both feet due to my tight tendons. My right heel is pretty sore from walking around barefoot during both Yoga and Tai Chi class. I wonder if I can wear any kind of soft shoe during either class?
A. Heel spur / plantar fasciitis (also sometimes spelled “fascitis”) is a condition where the bottom of the heel is extremely painful. A heel spur is a bony overgrowth and is usually a result of an inflamed plantar ligament on the bottom of the foot attaching to the heel. Constant pulling of this ligament irritates the heel and a bone spur overgrows as a protective mechanism. There is usually pain with the first step in the morning, some relief after activity, but pain returns after long periods of weight bearing activity. The plantar fascia is a tough structure, but can only stretch about 102% of its length before tearing. Its relative inflexibility incurs the absorption of tremendous force in the fascia every time the foot hits the ground
This type of condition is not well understood medically. It seems to be associated with obesity, poor shoe design, alignment of the heel, gout, pronation, and arthritis. According to Dr. Gabe Mirkin, “Doctors have no medications that help heal the plantar fascia. Surgery to cut the plantar, called fasciotomy, is usually ineffective and may even prevent healing.”
Plantar fasciitis also seems to be present in a number of individuals with fibromyalgia. Fibromyalgia is a condition of painful, stiff muscles and connective tissue whose medical etiology may involve auto-immune, central nervous system, and psychological or perceptual components. There is no medical cure for this condition, and patients are usually dissatisfied with their treatment options.
From an Eastern (both Taoist and yogic) perspective, the deeper causes may relate to a bioenergetic imbalance. There can be an underlying karmic imbalance within and between the first 4 chakras. This imbalance is further shaped and expressed through genetic and environmental factors. There is also the feedback loop of hypersensitivity to discomfort creating anxiety and emotional resistance, which in turn increases the perception of threat and pain and perhaps an involuntary subconscious tightening of the musculature which can further inhibit the flexibility of the affected area.
The systems of T’ai Chi and Tantric Qigong that I teach are ideal for intervention in this process.
Consistent T’ai Chi & Qigong practice will:
- Improve biomechanical alignment and efficiency.
- Increase healing life force.
- Transmute underlying emotional issues.
- Improve flexibility and blood flow through gentle, conscious, weight bearing stretching.
- Increase empowerment, decrease anxiety and emotional resistance.
Here are some suggestions to improve Plantar Fasciitis (fascitis):
- Take a warm hip-bath before class to relax foot, leg, and hip muscles.
- Keep these muscles warm when traveling to class.
- Slowly, gently, & Consciously “step into” the stiffness and pain.
- Relax your body and mind.
- Breathe deeply.
In regards to a shoe, though I prefer that you go barefoot to maximize pedal flexibility and groundedness, it would be OK to wear something with a soft sole and arch support. In addition to the cushioning support, some beneficial warming of the sole may occur. A T’ai Chi ( or Kung Fu) shoe with a rubber sole and a thin orthotic insert would be ideal. You can purchase these shoes via the Internet or try them on at a martial arts studio. My students can get a discount at the Flying Dragon. They have Chinese sizes, so unless you know what your size is you might have to try them on. Also some reflexology and foot massage might be helpful.
With committed, daily T’ai Chi and Qigong practice (more than once a day would be better,) you will soon experience some improvement. Though there can be some discomfort and resistance at first, the student who perseveres will notice definite progress. Copyright 2005, Keith E. Hall. all rights reserved.
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Qigong & Fibromyalgia: From the Arthritis Care and Research study
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