Plantar Fasciitis


Overview

Plantar fasciitis is the most common foot ailment seen and treated at OKAPED and overall is one of the most common causes of heel pain and arch pain in the foot. The thick band of fascial  tissue that runs along the bottom of your foot connecting your heel (calcaneus) to your toes is called the plantar fascia. Repetitive stress from athletics, work and extended walking can bring on this foot irritation. It often develops without a defined injury and may also develop as a secondary injury due to compensations in the foot and ankle.

Condition

Sharp localized pain on the bottom of the heel that can also radiate into the arch of the foot with walking running or prolonged standing. The Plantar Fascia is is a strong fibrous connective tissue that connects the heel to the toes. It functions to support the arch and assist the foot with propulsion.

Symptoms & Signs

You may experience pain with 1st steps in the morning or after sitting for a long period. The pain may be very intense and then decrease after 10 minutes. Direct pressure on the heel can illicit pain but some irritation is often noted as the heel raises and the fascia tightens at push off in the walking or running cycle.

Treatment

Common treatments include:

  • Activity modification
  • Use of appropriate footwear including in the house
  • Fascia and calf stretches
  • Night splints
  • Taping or arch supports
  • Custom Foot Orthotics
  • Physiotherapy
Symptoms & Cause

Pain in the foot can be due to a problem in any part of the foot. Bones, ligaments, tendons, muscles, fascia, toenail beds, nerves, blood vessels, or skin can be the source of foot pain. The cause of foot pain can be narrowed down by location and by considering some of the most common causes of foot pain.

Diagnosis & Treatment

Plantar fasciitis is the most common cause of heel pain. The plantar fascia, a band of tough tissue connecting the heel bone to the toes, becomes irritated or inflamed. Heel pain which is often worst in the morning when getting out of bed or getting up from rest, is the most common symptom. Arch pain may also be present in some individuals.

Treatment for plantar fasciitis includes:

  • Rest / activity modification
  • Calf and foot muscle stretches and exercises
  • Medication recommended by your physician
  • Shoes with a good shank and a cushioned sole
  • Arch supports or if required custom foot orthotics
  • Tape for support or pain relief such as Kinesio tape
  • Physiotherapy

If you are experiencing foot pain or discomfort, you should consult your physician for a proper diagnosis and an appropriate treatment plan.

 

Your doctor may refer you to  OKAPED’s to see a Canadian Certified Pedorthist for Pedorthic management of your foot pain. This may include orthopaedic footwear, shoe selection guidance, orthotics and/or foot related products such as a metatarsal pad. If you know your condition and want to learn about new products and treatments please give us a call.

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