22. September 2014 09:02
Plantar Fasciitis (PF) is a painful foot condition which is a common cause of heel pain in adults. It is an overuse injury that causes severe pain in the foot. Planar Fasciitis is a small band of tissue stretching from the heels to middle foot bones that helps in absorbing shock and provides cushioning to the arch of the foot. The ligaments in Plantar Fasciitis can get injured due to wear and tear of the foot and too much pressure can result in damaging the ligaments.
Plantar Fasciitis is commonly caused by wear and tear which can be due to:
- It can be caused due to excessive pressure on the feet while walking, running or standing.
- Wearing shoes that have poor cushioning or poor arch support.
- Repetitive impact activities like sports can impact the feet negatively resulting in plantar fasciitis.
- People who are overweight or obese can put extra pressure on their feet.
- Pregnant women can also experience plantar fasciitis during late pregnancy.
- People who have active jobs that involves being on feet like factory workers or a restaurant server may also develop this condition.
- People suffering from foot problems like high arches or flat feet can also develop this condition.
Plantar Fasciitis is accompanied with pain and stiffness in the bottom of the heel. Some other symptoms include:
- Pain in the foot develops gradually and can affect one or both feet.
- The pain can be dull or sharp, with burning sensation or ache at the bottom of the foot extending outwards from the heel.
- Severe pain in the foot when you take first steps in the morning or when no weight is placed on the foot for long periods of time.
- Great pain after exercising or any physical activity.
A foot and ankle surgeon will examine the feet and check for symptoms of Plantar Fasciitis. The doctor will carefully examine the feet for tenderness and high arches. The doctor may also ask you to flex your foot while pushing the Plantar Fasciitis to see if flexing worsens the pain. Signs of swelling and inflammation are also noticed and if the cause of pain still remains uncertain, diagnostic tests like X-Rays and MRI scans help in determining the exact cause behind the pain.
The pain caused due to Plantar Fasciitis is generally self-limiting and subsides with time. If the ligaments have been injured it may take several months to heal. However, conservative treatment methods are also beneficial in providing relief from the pain. Resting the affected area and avoiding all activities that strain the foot can help in reducing the pain. Rubbing ice helps in easing the inflammation and relieves pain and anti-inflammatory medicines prescribed by your foot surgeon can also help in reducing the pain and inflammation. Physical therapy helps in easing the tight muscles in feet and calves which also reduces the pain. Heel pads help in providing support to the feet by elevating and cushioning the feet.
Surgery may be required if the pain continues to occur after non surgical treatment. The surgical procedure for planar fasciitis involves separating the plantar fascia where it connects to the bone although surgery is considered as a last resort.
For diagnosis and treatment of Plantar Fasciitis, visit Dr. Heier in Carrollton, TX. To schedule an appointment, you can call at (972) 492-1334.