You doctor or podiatrist can help you discover the cause of your condition. After the cause has been determined, your doctor will advise you on the best plantar fasciitis pain therapy. Most of the
time, plantar fasciitis pain therapy is easily conducted at home with exercise, rest and relaxation. Sometimes staying off your feet for a given amount of time is the best form of plantar fasciitis
pain therapy. Other times, a doctor may tell you to apply tape across the plantar fascia located just in front of the heel where the arch begins to allow the inflammation to subside and the foot to
The pain from plantar fasciitis is described as being dull, aching or sharp (all three for me) and can usually be reproduced by flexing the toes upwards and tensing the fascia. Plantar fasciitis also
tends to worsen after standing or exercising for prolonged periods or after getting out of bed in the morning. Morning heel pain from plantar fasciitis is one of the most common symptoms and occurs
because the fascia becomes tense after a protracted rest. As the person walks, the fascia "warms up" and lengthens slightly, reducing the tension on the ligament and lessening pain.
Many people with Plantar Fasciitis experience a sharp heel pain in the morning, when taking the first steps after getting out of bed. This pain comes from the tightening of the plantar fascia that
occurs during sleep. Stretching and massaging the plantar fascia before standing up will help reduce heel pain for the rest of your day! Massaging the plantar fascia can be done simply by rolling a
tennisball (or rolling pin) under the foot, all the way from the heel to the toes. Keep rolling the ball or pin under the foot for about 5 minutes.
There are many factors that can lead to an occurrence or re-occurrence of plantar fasciitis. Although plantar fasciitis can influence mechanical malfunctions of the foot during movement, as already
mentioned, these malfunctions can also cause plantar fasciitis. Having flat feet, for example, is a common condition where the arch of the foot drops. The result is abnormal wear and tear on the
plantar fascia that can lead to a damaged fascia. Pronation, high arches, and a tight Achilles tendon are also biomechanical factors that can add stress and pull the plantar fascia too much, causing
tears in the tissue.
Surgery carries the risk of nerve injury, infection, rupture of the plantar fascia, and failure of the pain to improve. 13 Surgical procedures, such as plantar fascia release, are a last resort, and
often lead to further complications such as a lowering of the arch and pain in the supero-lateral side of the foot due to compression of the cuboid bone 14 An ultrasound guided needle fasciotomy can
be used as a minimally invasive surgical intervention for plantar fasciitis. A needle is inserted into the plantar fascia and moved back and forwards to disrupt the fibrous tissue. 15
The plantar fascia is a basically inflexible, strong, fibrous band on the lower partof the foot. This band helps keep the sophisticated arch system of the foot, it is a shock absorber, participates
in one's balance and in the different phases of gait. The plantar fascia transfer the weight across the lower part of the foot every step you are taking. At the moment the ankle of the trailing foot
begins to lift off the ground, the plantar fascia band endures stress that is close to twice body weight. If the calf muscles are stiff than the stress is increased.
If your foot pain does not respond within a reasonable amount of time to noninvasive treatments, your podiatrist may suggest other options, such as corticosteroid injections, extracorporeal shock
wave therapy and iontophoresis. Extracorporeal shock wave therapy is thought to stimulate your plantar fascia tissue to accelerate its healing. Iontophoresis uses low-level electrical stimulation to
push corticosteroid ointment into the soft tissues of your foot. You may be referred to a surgeon for a plantar fasciotomy, an operation in which part of your plantar fascia is cut away from your
heel. The connective tissue then regrows, creating a longer plantar fascia. References
Why is this stretch valuable? Tight hamstring muscles (which cross both the knee and hip joints on the back of the leg) can lead to limited extension and exaggerated flexion of the knee during the
running stride (they tend to pull the lower part of the leg backward). This over-flexion at the knee actually increases the amount of dorsiflexion at the ankle during the landing phase of the running
stride (remember that the entire leg functions as a kinetic chain; change one thing, in this case hamstring flexibility, and that change will 'ripple' right down the leg to the ankle joint).
Physical therapy is used commonly to help rehabilitate patients with this condition to not only speed up recovery but also teach the patient how to properly exercise the plantar fascia if future
events of this condition arise. Extracorporeal shock wave therapy, or ESWT, has emerged as a treatment option available for patients with plantar fasciitis ESWT delivers a focused shock waves to the
heel. The healing response caused by the trauma causes the formation of blood vessels and an increase delivery of nutrients to the area thus stimulating a repair process to relieve the symptoms of
Night splinting is another treatment which aims to stretch out the plantar fascia. As its name suggests, a night splint is a device you wear while you sleep which keeps your ankle dorsiflexed. The
theory is that the “first-step pain” that is the hallmark of plantar fasciitis is caused by the arch healing at night without any tension on it. In the morning, the healing is disrupted by the
tension put on the arch when you get out of bed. “The Sock” is a regular knee-high sock with a strap that runs from the toes to the kneecap.