[title size=”3″]what is plantar fasciitis? [/title]
Plantar fasciitis is an inflammation of the band of tissue (the plantar fascia) that extends from the heel to the toes. In this condition, the fascia first becomes irritated and then inflamed-resulting in heel pain.
Plantar fasciitis is the most common cause of heel pain in adults. It is sometimes also called heel spur syndrome, when a spur is present. Heel pain may also be due to other causes, such as a stress fracture, tendonitis, arthritis, nerve irritation, or, rarely, a cyst.
Because there are several potential causes, it is important to have heel pain properly diagnosed.
A foot and ankle surgeon is best trained to distinguish between all the possibilities and determine the underlying source of your heel pain.
[title size=”3″]symptoms [/title]
The Symptoms of Plantar Fasciitis Are:
- Pain on the bottom of the heel
- Pain that is usually worse upon arising
- Pain that increases over a period of weeks or months
People with plantar fasciitis often describe the pain as worse when they get up in the morning or after they’ve been sitting for long periods of time.
After a few minutes of walking the pain decreases, because walking stretches the fascia. For some people the pain subsides but returns after spending long periods of time on their feet.
[title size=”3″]causes of plantar fasciitis[/title]
The most common cause of plantar fasciitis relates to faulty structure of the foot. For example, people who have problems with their arches-either overly flat feet or high-arched feet-are more prone to developing plantar fasciitis.
Wearing non-supportive footwear on hard, flat surfaces puts abnormal strain on the plantar fascia and can also lead to plantar fasciitis. This is particularly evident when a person’s job requires long hours on their feet. Obesity also contributes to plantar fasciitis.
To arrive at a diagnosis, the foot and ankle surgeon will obtain your medical history and examine your foot. Throughout this process the surgeon rules out all the possible causes for your heel pain other than plantar fasciitis.
In addition, diagnostic imaging studies such as x-rays, ultrasound, or magnetic resonance imaging (MRI) may be used to distinguish the different types of heel pain.
Sometimes heel spurs are found in patients with plantar fasciitis, but these are rarely a source of pain.
[title size=”3″]treatment options[/title]
Treatment of plantar fasciitis begins with first-line strategies, which you can begin at home. Our stretching instructions are a great place to start!
The clinical practice guidelines of the American College of Foot and Ankle Surgeons show that approximately 75% of patients with plantar fasciitis reduce their symptoms in six to eight weeks with nothing other than stretching and anti-inflammatory medications.
Although most patients with plantar fasciitis respond to non-surgical treatment, a small percentage of patients may require surgery. If, after several months of non-surgical treatment, you continue to have heel pain, surgery will be considered. Your foot and ankle surgeon will discuss the surgical options with you and determine which approach would be most beneficial for you.
[title size=”3″]long term care and prevention[/title]