Get Back in the Game after Plantar Fasciitis
by
Kurt Ullman
Forces acting on the foot from excess pressure or repetitive activity cause the arch to flatten out. At the same time, the plantar fascia is trying to keep this from happening. These opposing forces put tremendous stress on the tissue, causing microtears in the ligament. When enough continuing stress exceeds the body’s ability to heal itself, the tissue under the heel becomes injured and painful. SymptomsThe symptoms of plantar fasciitis include severe heel pain, especially first thing in the morning. Most people say that it hurts from "the instant their heel touches the ground." Some even feel pain and stiffness when starting to walk after sitting for a while. It gets worse after prolonged weight-bearing, walking, or standing. Pain can also radiate into the arch or sole of the foot. Plantar fasciitis is often seen in persons over 40 years old or in those who are overweight. There is also an increase in visits to doctors during the spring and summer months as people resume activities involving walking or running. Among runners and other athletes, shoes that do not support the foot properly commonly lead to plantar fasciitis. DiagnosisDiagnosis is most often made by assessing the place (middle of the bottom of the heel) and timing of the pain. The doctor will also question you on your activity levels and history of pain. While fractures, infection, and arthritis can also occur, the place and timing of the pain is usually different. Sometimes an x-ray or other imaging test is needed to exclude these other causes. TreatmentOver-the-Counter RemediesSome treatment options include:
Other Treatment OptionsIf home remedies are not working, your doctor may try more aggressive treatments. These treatments may include:
Be aware that it may take several months for your injury to heal completely. Do not return to sports or normal activity until your doctor says it is okay to do so. RESOURCES:American Podiatric Medical Association
http://www.apma.org Ortho Info—American Academy of Orthopaedic Surgeons
http://www.orthoinfo.org CANADIAN RESOURCES:Canadian Podiatric Medical Association
http://www.podiatrycanada.org/ When it Hurts to Move—Canadian Orthopaedic Foundation
http://whenithurtstomove.org References:Heel and arch pain. Foot & Ankle Center of Washington website. Available at:
https://www.footankle.com/heel-pain-center. Accessed November 13, 2017.
Plantar fasciitis. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T116406/Plantar-fasciitis. Updated July 12, 2017. Accessed November 13, 2017.
Plantar fasciitis and bone spurs. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at:
...(Click grey area to select URL) Updated June 2010. Accessed November 13, 2017. Last reviewed November 2017 by EBSCO Medical Review Board
Michael Woods, MD, FAAP
Last Updated: 1/31/2014 |
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