What is Plantar Fasciitis?
You also don’t have to be an athlete to get plantar fasciitis. The strain that occurs on the underside of the foot can be caused by excessive weight gain or pregnancy.
Plantar fasciitis develops when the plantar fascia becomes strained, inflamed, or overused. Plantar fasciitis is most commonly caused by long periods of standing or compensating for foot pronation.
Pronation is the natural motion of the foot during weight bearing, involving the rolling in of the foot at the ankle.
The plantar fascia is a thick connective tissue (or band of fibers) that extends from the heel bone to the toes. When you over-pronate (or under-pronate), it places additional strain on the plantar fascia, which can cause inflammation.
This inflammation is often accompanied by a sharp, stabbing pain on the bottom of the heel, often referred to as stabbing heel pain.
Running, walking, or even just standing long periods can aggravate your plantar fasciitis, and you may suffer from sharp stabbing heel pain after activity.
Risk Factors for Plantar Fasciitis
(a) Excessive running
(b) Early morning running
(c) Long distance running over 15 miles
(d) Wearing shoes without arch supports
(e) Running on surfaces that are slippery or hard (e.g. hard ground, cambered roads, treadmills)
(f) Overpronation of the foot
Home Treatment Options for Plantar Fasciitis
Plantar fasciitis is a painful inflammatory condition of the plantar fascia, which is the tissue that runs from the bottom of the heel to the toes. In plantar fasciitis, the tissue becomes inflamed. That is the initial part of the condition.
As the person continues to walk on this plantar fascia, swelling and inflammation sets in, resulting in pain and tenderness. Eventually, the pain can become severe enough that it becomes difficult to walk and even stand.
Depending on the severity of the pain and symptoms, plantar fasciitis may be treated with over the counter pain medications and wearing 2 pairs of shoe inserts to protect the feet.
For athletes and others with other conditions that may contribute to plantar fascia issues, doctors may recommend orthotics (inserts).
Orthotics can be very helpful in the treatment of plantar fasciitis as they stabilize the foot and reduce stress on the plantar fascia.
We make several different types of orthotic inserts for plantar fasciitis.
One of the most popular is the flat heart orthotic. These are produced on a hard platform. The heel of the foot is built up with enough arch support to keep the heel and plantar fascia in a neutral and relaxed position. They are available as either a soft orthotic heart or a hard orthotic heart.
Surgical Treatments for Plantar Fasciitis
If the plantar fasciitis pain cannot be resolved with conservative treatments, patients may request surgical intervention. There are a variety of surgical procedures used. Most experts agree that techniques that “hold” the plantar fascia in position for consistent healing are most effective and that procedures that cut, stretch or sew the plantar fascia are not as successful.
If a surgery becomes necessary, your doctor will probably use one of the following techniques.
A plantar fascia release is a surgical procedure that allows for full healing of a plantar fasciitis injury. The plantar fascia is cut and released from all points of attachment allowing the tendon to properly heal back to full strength.
Use of a plantar fascia graft in cases of severe plantar fasciitis pain is increasing. Surgeons use a plantar fascia graft to replace the degenerated or torn plantar fascia. The plantar fascia is harvested from a non-weight bearing part of the body (near the heel) and is then attached to the foot with either stitches or a surgical staple.
Plantar fascia expansion (also called a toe spread) involves cutting the plantar fascia and using a progressive device to stretch the tissue in order to break adhesions.
What is Plantar Fasciitis Taping?
There are many different types of taping, this technique simply involves wrapping an athletic or kinesiology tape used for taping ankles and legs, around the bottom of the foot to provide the arch and heel support required.
There are various ways to apply the tape, but they all serve the same goal of reducing the pain caused by Plantar Fasciitis and allowing mobility to exercise. The tape can also be used in conjunction with a night splint.
Plantar Fasciitis is a painful condition caused by the tearing of the fascia running the length of the bottom of the foot between the heel bone and the toes. It is most commonly associated with the foot over extending in tiredness, often by breaking the heel bone in the bottom of the foot.
It is very common in runners, but is not always noticeable. Many people who have this condition are unaware of it as the pain associated with it is gradual and the foot is usually able to compensate for it. Over time, and with continued overuse, the condition can progress to having the heel bone actually break.
For most people, the best thing to do for this injury is use some form of footwear or orthotic that supports the arch and heel of the foot.
Here is some further detail on common ways to tape for plantar fasciitis:
How Do I Apply Plantar Fasciitis Tape?
Plantar fasciitis is a common inflammation of the band of tissue—the plantar fascia—that stretches from your heels to the fronts of your ankles. This tissue supports the arch of your foot as well as helping you run, jump, and walk. Inflammation can occur when too much pressure is put on the plantar fascia while walking. For example the insole of your shoe might get worn down and be painful on the heel.
The most common symptoms are a sharp pain at the bottom of your heel when you get up in the morning after a night's sleep, that eases with a short walk. If the pain stays with you after a few minutes of moving around, it may be the result of plantar fasciitis. Plantar fasciitis pain tends to feel worse in the morning after you have been resting.
This can be a serious condition if it's not treated, due to the fact that it can lead to long-term foot pain.
Plantar fasciitis is often described as the feeling as if you are walking on a stone in your shoe and was ranked as the number one worst foot injury by the American Podiatric Medical Association.