Plantar fasciitis is a painful condition, it is caused by excessive strain on the plantar fascia (thick band of tissue that runs under the arch of the foot). Strain mostly occurs around its attachment site in the heel. Some common causes can be:
- Acute injury
- Excessive weight
- Poor foot function or excess foot pronation
- Poor footwear
The most effective solution to Plantar Fasciitis is to treat the cause of the problem i.e. by correcting abnormal foot mechanics with orthotic insoles.
Orthotics control over-pronation and support the arches. They help release the tension on the plantar fascia, thereby treating the cause of the problem and allowing the inflamed tissue to heal much faster.
Podiatrists offer specific advice regarding the various orthotic options available and what is most appropriate for each individual.
Other treatment methods may include:
Ice: Applied onto the heel area as advised by your Podiatrist.
Rest and reduced activity: If not enforced the continuous pulling and stress to the fascia will lead to aggravation of the condition and may lead to the development of a bony growth on the heel (a heel spur).
A program of daily exercises: The exercises help make the muscles and tendons in the feet and legs longer and more flexible. In turn this will reduce the tension on the plantar fascia.
Footwear advice: Shoes specifically designed to prevent plantar fascia stress have been developed. These shoes aim towards maintaining the arch of the foot and providing adequate shock absorption, whilst encouraging efficient movement throughout the gait cycle. These can offer control through limitation of the degree of pronation.
InterX: Neurostimulation to desensitise the nerves and reduce the pain associated with this condition.
Surgical treatment: This is very rarely offered as in most cases plantar fasciitis recovers with conservative treatment options. Surgical methods include a procedure calle
d a fasciotomy which involves splitting the fascia, thus reducing the tension within it. Surgical treatments have a good success rate but require rehabilitation post-surgery.
Brindabella Podiatry Canberra Ph: 62932024