Plantar Fasciitis
Plantar Fasciitis
Description
The plantar fascia is made up of layers of fibrous connective tissue that run from the base of the heel bone (calcaneus) to the ball of the foot. It provides structural support for the bottom (plantar aspect) of the foot. Injury to the plantar fascia, most commonly where it connects to the heel bone, is known as “plantar fasciitis”. Injury typically results from faulty foot mechanics and/or overuse. The term plantar fasciitis is often used and/or misused to describe several other heel or arch related conditions (see heel spur, heel bruise, fat pad syndrome).
Symptoms
  • Pain and tenderness on the sole of the foot usually localized at the heel but can radiate out towards the ball of the foot, during standing, walking or running.
  • The pain can be particularly acute with the first few steps in the morning after getting out of bed and after prolonged sitting.
Pedorthic Management
  • Custom orthotics or over-the-counter insoles to protect and support the structures of the foot that involve the plantar fascia.
  • Supportive footwear that is torsionally stable (can’t be folded or twisted easily), worn both in and out-of-doors.
  • Night Splints to stretch calf muscles and allow healing with gentle tension on the fascia.
Other Treatments
  • Physical therapy modalities include icing, taping, massage, stretching programs targeting the calf muscles and plantar fascia.
  • Injections, surgery and other treatment options - please consult your medical doctor for information and/or referral to a podiatrist or other foot and ankle specialist.