When individuals begin to experience intense pain in their heel, many know that they have acquired plantar fasciitis. This ailment occurs when the plantar fascia ligament along the bottom of the foot develops tears in the tissue. This will result in pain and inflammation of the area closest to the heel bone.
The most common symptoms of plantar fasciitis include:
- An aching pain in the heel of the foot
The fascia ligament tightens up over night and therefore causes the most pain in the morning. Pain generally decreases as the tissue warms up, but oftentimes returns after long periods of standing or weight bearing and physical activity.
The relevant factors that contribute to plantar fasciitis are biomechanical in origin. They are (a) loss of elasticity of the plantar fascial band, (b) collapse of the longitudinal arch,or (c) a valgus rotation of the forefoot associated with a high arched foot.The stress occurs not only in fascia, but also at the periosteum or lining of the bone.
Treatment options depend on the length and severity of the pain.Moderate to severe symptoms indicate the need to stabilize the neutral position of the foot with the use of customized orthotics. When inflammation is severe a steroid injection is necessary to reduce the pain and swelling.In very resistant cases Shock Wave Therapy will afford relief. To understand this modality please watch the shock wave video.
In most cases, treatment of plantar fasciitis doesn’t require surgery or invasive procedures to stop pain and reverse damage. Traditional treatments are usually all that is required. However, keep in mind that every person's body responds to the treatment differently and recovery times will vary.