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.
Plantar fasciitis occurs when the plantar fascia becomes inflamed, irritated, or degenerated due to excessive stress. Common causes and risk factors include:
Activities that involve long periods of standing, walking, or running, especially on hard surfaces, can lead to strain on the plantar fascia.
Abnormal foot mechanics such as flat feet (overpronation), high arches (cavus foot), or an abnormal gait can increase stress on the plantar fascia.
The condition is more prevalent in middle-aged individuals, although it can occur in people of any age.
Excess body weight can place additional stress on the plantar fascia, contributing to the onset of symptoms.
Shoes that lack arch support, cushioning, or have high heels can aggravate the condition.
Jobs that require long periods of standing or walking, such as teachers, factory workers, or healthcare providers, can predispose individuals to plantar fasciitis.
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.
The treatment for plantar fasciitis usually begins with conservative measures, and podiatrists may recommend the following strategies
Avoiding activities that exacerbate the pain, such as running or standing for long periods.
Applying ice to the affected area can help reduce inflammation and alleviate pain.
Our Podiatrists may recommend specific stretches for the calf muscles and plantar fascia, as well as strengthening exercises for the foot and ankle.
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.
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.
Nonsteroidal anti-inflammatory drugs (NSAIDs) can be recommended for pain relief and to reduce inflammation.
A physical therapist can guide patients through appropriate exercises and modalities to promote healing.
Wearing a night splint can keep the foot in a dorsiflexed position, stretching the plantar fascia overnight.
This non-invasive treatment can promote healing in chronic cases.
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.
