Foot Pain? It Could Be Plantar Fasciitis
Plantar fasciitis is probably the most common musculoskeletal concern that podiatrists see. Plantar fasciitis (pronounced “fash-ee-eye-tis”) is an inflammatory condition of the plantar fascia. This is a band of tissue that runs along the base of the foot from the heel to the ball of the foot. It plays a role in maintaining the foot’s arch. It also helps to create energy efficiency when walking and running. With overuse, or excessive pressure, the fascia can become irritated and inflamed.
Symptoms
This can become very painful, especially in the heel area, if untreated. Patients suffering from plantar fasciitis will usually note that the pain is worse in the morning, or with the first few steps after they have been sitting. This pain will usually settle if the condition is relatively new. However, it can get to the point that any weight placed on the heel causes pain.
What Causes Planta Fasciitis
Plantar fasciitis is often seen in people who spend a lot of time on their feet, such as runners or those who work on their feet all day. Many teachers in Shanghai develop the condition. It can also be present in people who have gained weight in a short amount of time. Pregnant women commonly experience plantar fasciitis. Foot shape and footwear can also contribute. If the muscles and bones in the foot are not functioning in the most efficient way possible, they can fatigue and suffer damage very easily.
An x-ray may show the presence of a heel spur in these cases. A heel spur is an outcropping of bone located at the heel. It is often an indication that there has been tension along the plantar fascia toward the point where it connects to the bone. Interestingly, studies show that many people have heel spurs even if they are not experiencing pain. This means that the pain is usually more from the tension in the plantar fascia rather than from the bone change. An ultrasound may also show thickening or a tear within the plantar fascia.
Treatment
We treat plantar fasciitis in a number of ways. Short term treatment will usually consist of icing, strapping, exercises, or rest. Your podiatrist can help to identify the cause of the condition and tailor a treatment plan accordingly. This may include lifestyle changes or using supportive orthotics to maintain better foot positioning.
If you are experiencing foot pain or problems, click here to make an appointment with Scott Blake, Podiatrist/Chiropodist. Scott also provides assessment and development of custom orthotics.