What Causes Plantar Fasciitis
The “plantar fascia” is a ligament that runs from the heel bone (calcaneus) to the metatarsals (long forefoot bones). Due to the fact that it supports the arch and absorbs shock, it is under a lot of stress and pull while walking and running. Micro-tears occur in the fascia, and inflammation occurs.
Plantar fasciitis can be caused by flat feet, high arches, foot injury, obesity, nerve conditions, arthritis, tight Achilles tendon, etc.
Plantar Fasciitis Symptoms
Patients with plantar fasciitis typically have pain on the bottom of the rearfoot. The pain is usually worse during the first few steps in the morning, as well as the first few steps after sitting for a period of time. Symptoms can be confused with a stress fracture, neuritis, or other rearfoot conditions.
Plantar Fasciitis Surgery
If conservative treatment fails, surgery is an option. There are a few surgical options that do not require an incision at all. Extracorporeal shockwave therapy and radiofrequency nerve ablation are possible options that require no incision. Minimally invasive techniques are also available, such as Topaz for plantar fasciitis and endocopic (through a tiny incision with a camera) plantar fasciotomy. An incision to visualize the plantar fascia is a possibility as well.
Plantar Fasciitis Treatment
Once diagnosed, there are a variety of conservative treatment measures that can be implemented. These include: stretching exercises, orthotics, night splints, steroid injections, brace or boot, rest, icing, compression, supportive shoegear, topical medication, or oral medication. If conservative treatments fail, surgery can be considered.
What does plantar fasciitis feel like
Plantar fasciitis feels like a stabbing, aching, or burning pain.
Where does plantar fasciitis hurt
Plantar fasciitis hurts at the bottom of the heel, and usually on the medial (inside) aspect of the bottom of the heel. The pain may course along the bottom of the foot into the arch.
