Plantar Fasciitis

Plantar fasciitis is one of the most common causes of heel pain. It occurs when the plantar fascia, a thick band of tissue running along the bottom of the foot from the heel to the toes, becomes inflamed. This condition typically causes sharp, stabbing pain, especially with the first steps in the morning or after prolonged periods of rest.

Causes of Plantar Fasciitis

Several factors can contribute to the development of plantar fasciitis:

• Overuse: Activities that put repetitive stress on the feet, like running or standing for long periods, can strain the plantar fascia.
• Improper Footwear: Shoes that lack proper arch support or cushioning can lead to increased pressure on the plantar fascia.
• Foot Structure: Conditions like flat feet, high arches, or tight calf muscles can alter foot mechanics and contribute to the condition.
• Age: Plantar fasciitis is more common in individuals between the ages of 40 and 60, as the plantar fascia loses flexibility and strength with age.
• Obesity: Excess weight can put additional strain on the feet, increasing the risk of developing plantar fasciitis.

Symptoms of Plantar Fasciitis

The most common symptom is heel pain, especially:

• Sharp Pain: A stabbing pain at the bottom of the heel, particularly with the first few steps in the morning or after long periods of sitting.
• Pain after Exercise: The pain may also worsen after physical activity, although it typically doesn’t occur during the activity itself.
• Swelling and Tenderness: The bottom of the heel may feel tender or swollen, particularly after extended activity or standing.

Treatment Options for Plantar Fasciitis

Treatment for plantar fasciitis usually begins with conservative measures:

• Rest and Ice: Reducing activity and applying ice to the affected heel can help reduce inflammation and pain.
• Stretching Exercises: Regularly stretching the calf muscles and plantar fascia can help relieve tension and improve flexibility.
• Proper Footwear: Wearing supportive shoes with good arch support and cushioning can reduce stress on the plantar fascia.
• Orthotics: Custom insoles or over-the-counter arch supports can provide added relief by redistributing pressure and improving foot alignment.
• Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Over-the-counter medications like ibuprofen can help reduce pain and inflammation.
• Shockwave Therapy: Shockwave therapy can be a great noninvasive therapeutic alternative to injections or surgery.
• Injections: In many cases, a doctor may recommend steroid injections , to decrease inflammation and pain.
• Surgery: In cases where conservative management fails, surgery can be used to release tension in the plantar fascia.

Prevention

To prevent plantar fasciitis, wear shoes with proper arch support, avoid excessive strain on the feet, and maintain a healthy weight. Stretching before physical activity and using cushioning insoles can also reduce the risk of developing the condition.

Plantar fasciitis can be a painful and disruptive condition, but with the right treatment and lifestyle changes, most people can find relief and return to normal activities. If you experience persistent heel pain, it’s important to consult with a podiatrist for an accurate diagnosis and tailored treatment plan.

Make an appointment for plantar fasciitis evaluation