Plantar Fasciitis - Why so Painful
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What is plantar fasciitis?
Plantar fasciitis is a common condition that causes pain in the bottom of the foot, usually near the heel. It is caused by inflammation of the plantar fascia, a thick band of tissue that runs along the bottom of the foot from the heel to the toes. The plantar fascia helps to support the arch of the foot and absorbs shock when you walk or run.
What are the symptoms of plantar fasciitis?
The most common symptom of plantar fasciitis is pain in the bottom of the foot, usually near the heel. The pain is often worse in the morning when you first get out of bed, and it may also be worse after long periods of standing or walking. Other symptoms of plantar fasciitis may include:
- Swelling in the heel
- Tenderness to the touch
- A feeling of tightness or stiffness in the foot
- Difficulty walking or running
What causes plantar fasciitis?
The exact cause of plantar fasciitis is not known, but it is thought to be caused by repetitive stress on the plantar fascia. This can happen from activities such as running, walking, jumping, or standing for long periods of time. Other factors that may increase your risk of developing plantar fasciitis include:
- Overweight or obesity
- Flat feet
- High arches
- Tight calf muscles
- Wearing shoes with poor arch support
- Sudden increase in physical activity
How is plantar fasciitis diagnosed?
Your doctor will likely diagnose plantar fasciitis based on your symptoms and medical history. They may also do a physical examination of your foot, including checking for swelling, tenderness, and tightness. In some cases, your doctor may order imaging tests, such as an X-ray or MRI, to rule out other possible causes of heel pain.
How is plantar fasciitis treated?
The goal of treatment for plantar fasciitis is to reduce pain and inflammation, and to restore function to the foot. Treatment options may include:
- Rest: Avoiding activities that aggravate the pain can help to reduce inflammation and allow the plantar fascia to heal.
- Ice: Applying ice to the affected area for 20 minutes at a time, several times a day, can help to reduce pain and inflammation.
- Stretching: Stretching the plantar fascia and calf muscles can help to improve flexibility and reduce pain.
- Orthotics: Custom-made orthotics can help to provide support to the arch of the foot and reduce stress on the plantar fascia.
- Night splints: A night splint helps to keep the foot in a stretched position while you sleep, which can help to reduce pain and inflammation.
- Medications: Over-the-counter pain relievers, such as ibuprofen or naproxen, can help to relieve pain and inflammation. In some cases, your doctor may prescribe stronger pain medication or anti-inflammatory drugs.
- Physical therapy: Physical therapy can help to improve flexibility, strength, and range of motion in the foot and ankle.
Surgery
Surgery is rarely necessary for plantar fasciitis. However, if other treatments have not been successful, surgery may be an option. There are several different types of surgery for plantar fasciitis, and the best type for you will depend on your individual case.
How long does it take to recover from plantar fasciitis?
The recovery time for plantar fasciitis varies from person to person. In most cases, symptoms will improve within a few weeks to months with treatment. However, in some cases, it may take longer to recover.
How can I prevent plantar fasciitis?
There are a number of things you can do to help prevent plantar fasciitis, including:
- Maintaining a healthy weight
- Wearing shoes with good arch support
- Stretching the plantar fascia and calf muscles regularly
- Avoiding activities that aggravate the pain
- Gradually increasing the intensity and duration of physical activity
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