Overview
Plantar fasciitis is a common and painful condition affecting the plantar fascia, which is a thick band of tissue that runs along the bottom of the foot, connecting the heel bone to the toes. This structure supports the arch of the foot and plays a crucial role in the biomechanics of walking and standing.
Causes and Risk Factors
Plantar fasciitis occurs when the plantar fascia becomes inflamed, irritated, or degenerated due to excessive stress. Common causes and risk factors include:
Overuse or Repetitive Strain
Activities that involve long periods of standing, walking, or running, especially on hard surfaces, can lead to strain on the plantar fascia.
Foot Mechanics
Abnormal foot mechanics such as flat feet (overpronation), high arches (cavus foot), or an abnormal gait can increase stress on the plantar fascia.
Age
The condition is more prevalent in middle-aged individuals, although it can occur in people of any age.
Obesity
Excess body weight can place additional stress on the plantar fascia, contributing to the onset of symptoms.
Inappropriate Footwear
Shoes that lack arch support, cushioning, or have high heels can aggravate the condition.
Occupation
Jobs that require long periods of standing or walking, such as teachers, factory workers, or healthcare providers, can predispose individuals to plantar fasciitis.
Symptoms
The primary symptom of plantar fasciitis is heel pain, which is often worse in the morning or after prolonged periods of sitting. The pain typically decreases with movement but may return after prolonged activity or standing.
Treatment Approaches at Sydney Podiatry
The treatment for plantar fasciitis usually begins with conservative measures, and podiatrists may recommend the following strategies
Rest and Activity Modification
Avoiding activities that exacerbate the pain, such as running or standing for long periods.
Ice Therapy
Applying ice to the affected area can help reduce inflammation and alleviate pain.
Stretching and Strengthening Exercises
Our Podiatrists may recommend specific stretches for the calf muscles and plantar fascia, as well as strengthening exercises for the foot and ankle.
Orthotic Devices
Custom or over-the-counter orthotic inserts can provide arch support, distribute pressure more evenly, and improve foot mechanics. This is particularly effective for conditions like plantar fasciitis.
Footwear Recommendations
Wearing supportive shoes with good arch support and cushioning can help relieve pressure on the plantar fascia. Custom orthotic devices may also be prescribed to provide additional support.
Pain Management
Nonsteroidal anti-inflammatory drugs (NSAIDs) can be recommended for pain relief and to reduce inflammation.
Physical Therapy
A physical therapist can guide patients through appropriate exercises and modalities to promote healing.
Night Splints
Wearing a night splint can keep the foot in a dorsiflexed position, stretching the plantar fascia overnight.
Extracorporeal Shockwave Therapy (ESWT)
This non-invasive treatment can promote healing in chronic cases.
Corticosteroid Injections
For persistent pain, our podiatrist may recommend corticosteroid injections to reduce inflammation.
At Sydney Podiatry, Plantar fasciitis is a manageable condition with a variety of treatment options. Early intervention, along with lifestyle modifications and proper foot care, can significantly improve symptoms and functionality.
Sportslab Double bay
Sportslab Drummoyne
Full Potential Physiotherapy Ashfield
- 91664693
- Suite 4, Level 3/223-237 Liverpool Rd, Ashfield NSW 2131
