Plantar fasciitis develops when the wide band of tissue that runs along the bottom of the foot is irritated. This ligament, called the plantar fascia, supports the arch. Repeated strain can create tiny tears where it connects to the heel bone. The main symptom is sharp pain under the heel. Pain is usually strongest with the first steps after getting out of bed or standing after a long rest. It may ease as the foot begins moving, then return after extended activity. Some patients change the way they walk to avoid pressure on the sore heel.
Several factors can increase strain on the plantar fascia. A sudden increase in running, jumping, or stair climbing can overload the tissue. Excess body weight and pregnancy can also place greater pressure on the feet. Tight calf muscles, high arches, or flat feet may affect how force moves through the heel. Wearing shoes that lack proper support or cushioning can add to the problem. However, plantar fasciitis sometimes develops without a clear cause. Heel pain can also result from a stress fracture or nerve problem, so an accurate diagnosis is important.
A podiatrist can examine the foot, discuss when the pain occurs, and evaluate the patient's walking pattern. X-rays or other imaging tests can help rule out a fracture. Treatment includes activity changes and guidance on safe stretching. A podiatrist may recommend supportive shoes, custom orthotics, or taping to reduce pressure on the plantar fascia. A night splint can hold the foot in a gentle stretch while the patient sleeps. Persistent cases may benefit from other office-based treatments. Surgery is rarely required and is considered only when other care has not brought relief. Early evaluation can reduce pain and help prevent stress on the opposite foot, ankles, or knees. If you have symptoms of plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.
Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Kevin H. Lapoff from Lake Worth Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.
What Causes Plantar Fasciitis?
- Excessive running
- Having high arches in your feet
- Other foot issues such as flat feet
- Pregnancy (due to the sudden weight gain)
- Being on your feet very often
There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.
Prevention
- Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
- Maintain a healthy weight
- If you are a runner, alternate running with other sports that won’t cause heel pain
There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.
If you have any questions, please feel free to contact our office located in Lake Worth, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
