One important aspect in treating contact dermatitis is a good patient history that recognizes the patient's occupation and social activities. First and foremost in the treatment of contact dermatitis though is the identification and removal of the contributing irritant. This process may not be easy and may include the discontinuation of any oral medication taken by the patient that may be a source of systemic skin reaction. Avoid direct sun exposure. Use of an oral or topical antihistamine may help control any inflammatory reaction. And lastly, skin softeners need to be used to hydrate the skin.
Direct intervention is in the form of oral and/or injected medicines or topical application under ultrasound. Oral medications such as Motrin, Ibuprofen, Naprosyn and Celebrex are usually the first line of direct intervention. These medications will suppress the chemical process of inflammation, while oral steroids can directly affect the cellular events of inflammation. It should be noted that these medications are not specific for the foot and could have potentially harmful side effects throughout the body. Therefore, be sure to talk to your doctor about any other medicines you are taking before starting these treatments.
You’ve probably come to the realization that a lot more goes into the diagnosis and treatment of plantar fasciosis than you once thought. Blanket, one size fits all recommendations usually don’t work well for this condition. Please find a medical or allied health provider (medical doctor, osteopath, chiropractor, podiatrist, physical therapist, athletic trainer, body worker, etc.) that understands these concepts. Time spent in evaluation saves time in treatment. If you don’t have a medical or allied health provider, we’d be happy to help. We treat difficult cases of plantar fasciosis with our comprehensive, conservative care methods. Please call 708-532-CFIM (2346) and ask for either Dr. Dino or Dr. Marie at The Center for Integrated Medicine for more information.