What is Plantar Fasciitis?

Plantar fasciitis (or fasciosis) is one of the most common causes of foot pain, with 1 in 10 of us experiencing it at least once in our lifetime1. It involves pain at the heel near the origin of the plantar fascia, a tight connective tissue band that runs from the calcaneus (heel bone) to the ball of the foot. Sometimes the pain can be located towards the middle of the arch.

Plantar fasciitis is a degenerative condition characterised by thickening of the fascia and sometimes heel spurs2.

Most people report heel pain first thing in the morning or after periods of rest that improves with a little walking. It can also be brought on if you are standing for long periods or with exercise.

What Causes Plantar Fasciitis?

You may develop plantar fasciitis if you have:

  • Flat or pronated feet
  • High arch feet
  • Excessive weight
  • Non-supportive footwear
  • Prolonged standing/walking occupations
  • Tight Achilles tendon and foot muscles
  • Excessive running or exercise
  • Pregnancy
  • Some inflammatory conditions

plantarfasciitis

At FootMotion, we use our extensive clinical experience and state-of the-art technology to properly diagnose your foot pain, carry out a biomechanical assessment to accurately assess your foot function and create an evidence-based treatment plan to effectively manage your condition.

How can plantar fasciitis be treated?

Whilst plantar fasciitis can be self-limiting and settle within 12-18 months3-4, the pain can be debilitating, limiting your activity. Treatment is often required to ease your pain and prevent recurrence. At FootMotion Podiatry we rule out other causes of heel pain then customise a treatment programme for you that would include a combination of the following:

  • icing, massage and rest
  • stretching and strengthening exercises
  • strapping
  • supportive, well-cushioned footwear
  • arch supports or prescription orthoses

References:

  1. Uden, H, Boesch, E, & Kumar, S 2011, Plantar fasciitis – to jab or to support? A systematic review of the current best evidence,Journal Of Multidisciplinary Healthcare, vol. 4, pp. 155-164.
  2. Landorf, KB, McMillan, AM, Menz, HB 2013, Plantar heel pain: an update of its aetiology and diagnosis, Journal of Foot and Ankle Research, vol. 6 Suppl. 1 p. 18.
  3. Fink, BR 2012 Management of Plantar Fasciitis Evolving, The Journal of Musculoskeletal Medicine 29, pp.16-20
  4. Nicholl, D 2009, Plantar fasciitis: Part 2: recommendations for best clinical practice for the evaluation and treatment of plantar fasciitis Podiatry Now vol. 12, no. 1, p. 13