Plantar Fasciitis

DEFINITION

Plantar Fasciitis is a very common condition caused by excessive stretching of the plantar fascia. This is a broad band of fibrous tissue running along the sole of the foot, from the attachment at the bottom of the heel bone and extending to the toe bases. When this tissue is excessively stretched, this can cause plantar fasciitis, which can also lead to heel pain, arch pain, and heel spurs.

CAUSE

Various causes are known: Over-pronation (flat feet) which results in the arch collapsing with standing. High arched feet, a sudden increase in activity, excessive weight on the foot, such as obesity or pregnancy, improperly fitting footwear etc. Over-pronation is the most common cause, when the arch collapses upon weight bearing, causing the plantar fascia to be stretched out from the heel bone. With Plantar Fasciitis, the inside of the sole of the foot where your heel and arch meet becomes painful. Characteristically, this is often acute either first thing in the morning or after a long rest, because while resting the plantar fascia contracts back to its original shape. As the day progresses and the plantar fascia continues to be stretched, the pain can decrease.

Obviously determining what is causing the excessive stretching of the plantar fascia is the most important factor. When the cause is over-pronation (flat feet), an orthotic with longitudinal arch support is an effective device. If you have usually high arches, heel cushions, shock absorbers and wearing proper footwear will accommodate and comfort the foot a little. Other common treatments include stretching exercises, plantar fasciitis night splints, wearing shoes that have a cushioned heel to absorb shock, and elevating the heel with the use of a heel cradle or heel cup. Generally, you can reduce the strain and stress on the plantar fascia by following these simple instructions: Avoid running on hard or uneven ground, lose any excess weight, and wear shoes and orthotics that support your arch to prevent over-stretching of the plantar fascia.

If problem persists, consult your foot doctor.