Plantar fasciitis is the inflammation of the plantar fascia, which is a connective tissue
just underneath the skin of the foot. It is one of the most common causes of foot
and heel pain. The first step in the morning or after a period of inactivity is usually
the most painful and then it gets slightly better. Walking for a long period of time
and/or barefoot on hard surfaces can also trigger pain.
Causes:
Age (most common between 40-65 years of age)
Walking in shoes with hard soles
Flat feet (pes planus)
High-impact activities such as Long distance running ballet dancing
Jobs requiring weight-bearing activities for long periods of time
Obesity
Diagnosis:
Usually, no imaging/tests are required for the diagnosis of plantar fasciitis. Your
doctor might order X-rays/MRI to rule out other causes such as bone spurs or
stress fractures. Doctors/Physiotherapists will usually palpate your heel, and sole of
your foot along with your signs and symptoms to confirm the diagnosis.
Treatment
Rest
Ice
Changes in footwear including soft-soled shoes
Orthotics such as arch support, heel cushions
Physiotherapy which would include different stretches for the plantar
fascia, calf muscles, kinesiotaping, arch-building exercises, modalities such
as ultrasound
Night splints
Shockwave therapy for chronic plantar fasciitis
Corticosteroid injections
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