Plantar Fasciitis

Plantar fasciitis is a condition when the strong band of tissue that supports the arch is excessively stretched, becomes irritated and inflamed. This can cause arch and heel pain. 

Plantar Fascia is a long thin ligament that connects the heel to the front of your foot. Lying directly beneath the skin the plantar fascia helps to support the arch of your foot. 

 

Symptoms

• Pain in the arch and heel areas

• Increase pain after a period of rest such as sleeping overnight

• Pain with first few steps out of bed or sitting for a long time which subsides after walking

• Stiffness

• More pain after exercise than during

 

Causes

• Structural problem of the foot or Flat Feet

• Pressure put on the fascia causing tearing or damage to the tissues causing heel pain

 

Risk Factors

• Tight Calf muscles

• Obesity

• High Arches

• Repetitive activities such as running/sports

• Increase of activity or new activity

 

If the strain on the arch continues over a period of time and left untreated, a bony protrusion may develop. This is called a Heel Spur and it is important to have it treated.

 

Diagnosis

1. Exam will be done by your doctor

2. Medical History will be asked

3. X-rays may be obtained to rule out any bony abnormality or fractures

4. MRI and ultrasound are rarely used but are not ruled out.

 

Treatment

Non-Surgical Plantar Fasciitis Treatment

Surgical

1. Gastrocnemius recession

2. Plantar fascia release

 

Prevention

1. Footwear - Women should avoid high-heeled shoes. Both men and women should select footwear that has a reasonable heel with soft leather uppers, shock absorbing soles, and removable foot insoles.

2. Stretching exercises for the calf muscles and the arch may be needed. Remember to continue with stretching exercises long after the symptoms are gone. Activity levels and the types of activities (both work- and sports-related) may need to be modified to aid in recovery.