Plantar Fasciitis is known to be one of the most common cause of heel pain, and is characterized by pain and degeneration on the flat band of tissue, the plantar fascia, that connect your heel bone to your toes. The plantar fascia exists to support the arch of the foot.
If strained, the plantar fascia becomes weak or degenerates and causes the bottom of the foot to hurt at the time of standing or walking.
Plantar fasciitis is common in runners, as well as those who spend extended periods of time on their feet. This condition is very common in people who are overweight and people who wear shoes or boots without proper arch support.
However, the disease may happen to anyone. Plantar fasciitis is known to cause stabbing pains that can often come and go throughout the day depending on a person’s level of activity. The pain is usually the worst in the mornings or after sitting for a long period of time.
What causes Plantar Fasciitis?
The exact cause of plantar fasciitis is not completely known, but is attributed to repeat tearing of the plantar fascia. The plantar fascia acts as a shock absorber that supports the arch of the foot under normal conditions.
With increased tension, small tears can develop, which can cause irritation and inflammation if as tension and tearing continue over time. Plantar fasciitis can be caused by some specific conditions of the feet or activities that create tension or strain on the plantar fascia may include:
- Biomechanical problems like abnormal twisting or rolling of the foot, high arches or flat feet
- Repeating activities like running or walking for extended periods of time during the workday
- Increased stress on the foot due to weight problems or poorly cushioned shoes
In order to properly diagnose plantar fasciitis, your doctor can perform a short test to examine for pain points and tenderness in your foot.
In addition, they'll raise questions about the symptoms you’re experiencing, and therefore the activities you were doing throughout the time that the symptoms presented.
In most cases, the doctor can create a diagnosing based on your history of symptoms and a physical examination alone.
There are often some possible cases wherever an X-ray or magnetic resonance imaging is recommended to make sure that the pain you’re experiencing isn’t the results of a different condition. An X-ray isn't needed to diagnose plantar fasciitis because it won't show the ligaments clearly.
However, it'll show inner a part of the foot clearly and can also enable your doctor to examine a ‘spur’ if you've got one. A magnetic resonance imaging will very simply show the connective tissue.
What are the symptoms of Plantar Fasciitis?
In most of the cases, plantar fasciitis causes serious pains in the bottom of the foot, usually near the inside part of the heel. These symptoms can be present when you are taking your first steps of the day or after sitting for an extended period.
In addition, people suffering from plantar fasciitis may suffer from:
- Stiffness and pain after sleeping or resting may come and go throughout the day.  Sometimes activity improves the pain
- Pain when standing for extended periods
- Pain after prolonged activity
Treatments & Medicines
Treatment for plantar fasciitis has many goals including: relieving inflammation and pain within the heel enable any microscopic tears within the plantar fascia to heal, and to enhance the strength and adaptability of the foot to stop more harm to the plantar fascia.
There are a number of different treatments to assist relieve symptoms of plantar fasciitis, including:
- Physical Therapy: physical therapy for plantar fasciitis includes a range of exercises designed to stretch the plantar fascia, Achilles tendon and to strengthen muscles within the foot and lower leg. The most aim of the physical therapy is to increase strength and adaptability within the foot, ankle joint and heel to extend stability. Also, a good physiotherapist can address any associated hip or knee dysfunction.
- Splints & Taping: In several of the cases, splinting and taping would be utilized in combination with physical therapy. Splints and taping are done to stretch the calf and therefore the arch of the foot, holding the plantar fascia and tendons during a stretched position. Sometimes, your doctor can suggest that splints are often used overnight. Taping provides support throughout activity.
- Orthotics: There are many sorts of orthotics offered to treat region fasciitis offered.  Your doctor could order a heel cup, orthotic insert or cushion to assist support your foot and distribute pressure more equally.
When traditional ways aren't providing results, your doctor could recommend more medical treatments to assist reduce pain and proper issues. Treatments like these could include steroid injections, shock wave therapy and in rare cases surgery. Some doctors additionally supply newer regenerative techniques for the treatment of region fasciitis.