Plantar Fasciitis

Plantar Fasciitis is a common condition

Plantar Fasciitis is a common condition that involves the inflammation of the plantar fascia, a thick band of tissue that runs along the bottom of the foot, connecting the heel bone to the toes. This condition often leads to stabbing pain in the heel, especially during the first few steps in the morning or after periods of rest.
View causes and risk factors

Causes and Risk Factors

The plantar fascia plays a crucial role in supporting the arch of the foot and absorbing shock during walking and running. However, excessive stress or repeated strain on the plantar fascia can lead to microtears and inflammation, resulting in Plantar Fasciitis.

Common Causes:

  • Overuse: Short yet extremely creative and catchy description of the feature.
  • Improper Footwear: Wearing shoes with inadequate support or an improper fit.
  • Biomechanical Issues: Flat feet, high arches, or abnormal walking patterns.
  • Weight Gain: Excess body weight increases pressure on the plantar fascia.

Causes and Risk Factors

  • Age: Most common between the ages of 40 & 60
  • Exercise: Certain types of physical activities Obesity Flat feet, high arches, or abnormal walking patterns
  • Foot mechanics: Poor foot mechanics and posture.
  • Standing: Occupations that involve prolonged standing.

Symptoms

The hallmark symptom of Plantar Fasciitis is heel pain, which is often described as a sharp, stabbing sensation. This pain is typically most severe:

  • Morning time: When taking the first steps after waking up.
  • After Rest: After prolonged periods of rest or sitting.
  • After Activity: After intense physical activity.

Diagnosis

  • Physical Examination:

    Assessing the foot for tenderness, pain location, and range of motion.

  • Imaging Tests:

    X-rays or ultrasound may be used to rule out other potential causes.

  • Differential Diagnosis:

    Other conditions with similar symptoms, such as heel spurs or nerve entrapment, must be ruled out.

Treatment Options

Conservative Treatments:

  • Rest & Activity
  • Ice Packs
  • Stretching Exercises
  • Supportive Footwear

Medical Interventions:

  • Anti-Inflammatory Drugs
  • Corticosteroid Injections
  • Prescription Orthotics
  • Cryosurgery
  • Focused Shockwave Therapy (fESWT)

Physical Therapy:

  • Stretching and Strengthening Exercises
  • Massage Therapy

When to Seek Medical Help

If you experience persistent pain or find it difficult to walk due to heel pain, it’s important to consult a professional for a proper diagnosis and treatment plan.

If treated early (i.e. within 3-4 months of the onset of heel pain) Plantar fasciitis can be treated effectively by wearing orthotic insoles. Orthotics can correct over-pronation and support the arch. This will help release the tension on the plantar fascia, thus treating the cause of Plantar fasciitis.

For patients experiencing recurrent or chronic plantar fasciitis, other treatments such as Steroid Injections, Shockwave Therapy, and Cryosurgery should be considered.

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