13/09/2023
PLANTAR FASCIITIS
Plantar Fasciitis is an inflammation of the band of fibrous connective tissue (fascia) running along the bottom (plantar surface) of the foot. It causes soreness or tenderness of the sole of the foot under the heel, which sometimes extends into the medial arch. It can affect everyone, whatever your age, but those more commonly affected include people in middle, overweight or stand for long periods of time and athletes. This heel pain is generally the result of faulty biomechanics that place too much stress on the heel bone and the soft tissues that attach to it, injury, or a bruise incurred while walking, running, or jumping on hard surfaces, wearing poorly constructed footwear or being overweight.
There is strong scientific evidence of reliable outcomes demonstrating the effectiveness of conservative treatment of plantar fasciitis: you have to act quickly, orthotics, address footwear indoors and outdoors, take or apply anti-inflammatories, extracorporeal shockwave or radial soundwave therapy, stretch the calf muscles. Patients with acute plantar fasciitis generally respond to treatment more rapidly and more predictably than patients with chronic plantar fasciitis.
A podiatrist can diagnose plantar fasciitis through a thorough physical examination and gait analysis and rule out other injuries, recommend treatments to speed up your recovery like strengthening exercises, strapping, insoles, functional orthotic device to correct biomechanical imbalance or a combination of these and advise a proper care routine.
References:
Plantar heel pain and fasciitis. Landorf KB, Menz HB.BMJ Clin Evid. 2008 Feb 5;2008:1111.PMID: 19450330 Free PMC article
Plantar Fasciitis/Fasciosis. Motley T.Clin Podiatr Med Surg. 2021 Apr;38(2):193-200. doi: 10.1016/j.cpm.2020.12.005. Epub 2021 Feb 13.PMID: 33745651
Treatment of Plantar Fasciitis With Radial Soundwave "Early" Is Better Than After 6 Months: A Pilot Study. Saxena A, Hong BK, Yun AS, Maffulli N, Gerdesmeyer L.J Foot Ankle Surg. 2017 Sep-Oct;56(5):950-953. doi: 10.1053/j.jfas.2017.06.020.PMID: 28842103