Inflammation of the Plantar Fascia

Plantar Fasciitis is caused by repetitive strain and is the most common cause of localized heel pain. It is an inflammation of the plantar fascia and is a clinical diagnosis based on a history and examination completed by a physician.

The plantar fascia is a ligament structure that supports the longitudinal arch of the foot.

It is a tough, fibrous band of connective tissue that runs from the heel bone to the ball of the foot.

Symptoms of Plantar Fasciitis

• Starts as dull, intermittent pain in heel or arch, progressing to a sharp, persistent pain

• A sharp, piercing pain and/or inflammation through heel and foot that usually occurs in the morning or after resting and gradually disappears with walking.

• Tightness in calf muscles

• Symptoms may be spontaneous

Causes of Plantar Fasciitis

• Inflammation and pain result from increased activity or in association with aging.

• Inflammation is usually the result of athletic activity and can be very painful especially in the morning after cramping of feet and legs during sleep.

• Flat feet or high arched, rigid feet.

• Poor supporting shoes.

• Large weight gain in short period of time.

• Other family member with plantar fasciitis.

• Running on hills or balls of feet.

• Running on uneven surfaces.

Treatments of Plantar Fasciitis

• Use the Clinitex® HealWell™ Night Splint to maintain a gentle, constant stretch across the plantar fascia.

• Wear proper shoes. Running or sports shoes with excellent support, no or minimal heel, and well cushioned soles. Padded or gel inserts or arch supports may also be used.

• Use heel pads. Felt, gel, viscoelastic, or synthetic heel pads spread and absorb shock as the heel lands easing pressure on the plantar fascia.

• Decrease standing and ambulatory activity.

• Get periods of "relative rest" and ice to reduce inflammation (problem often reoccurs if one rests completely).

• Stretch the heel cord and plantar fascia.

• Perform stretching exercises followed by icing.

• Massage area of pain, especially in morning after warm bath or shower.

• Wear Birkenstock type sandal instead of bare feet or slippers.

• Tape to maintain arch and release tension off plantar fascia.

• Lose weight.

• Non-steroidal anti-inflammatory medication to reduce pain and inflammation.

TREATMENT IN EXTREME CASES OF PLANTAR FASCIITIS

• Cortisone injections

• Physical therapy to decrease pain and inflammation and strengthen foot muscles to support weakened plantar fascia

• Ultrasound to decrease inflammatory response

• Surgery (extremely rare). An incision over the inner aspect of the heel of foot with release of involved fascia from its' attachment to heel bone.