Plantar Fasciitis is a persistent pain
located on the plantar (bottom) surface of the foot.
The plantar fascia is a fibrous,
tendon-like structure that extends the entire length of the
bottom of the foot, beginning at the heel bone and extending
to the base of the toes. During excessive activity the
plantar fascia can become irritated, inflamed and may even
tear if the area is subjected to repetitive stress. Heel
contact during the gait cycle exposes the medial-plantar
aspect of the heel, where the plantar fascia attaches to the
- Pain in morning during first
few steps subsiding with prolonged walking
- Pain during athletic activity in the
beginning and subsiding with activity.
- High-arch, rigid foot more
- Flat, pronated foot more susceptible
- Improper shoes.
- Too stiff-soled
- Overworn shoes allowing
- Most common cause is sudden
increase in the amount or intensity of activity within a
short period of time.
Short Term Treatment:
- Elimination of external
- Medical exam, gait analysis and
x-rays to check for a heel spur
- Ice application.
- Complete rest or a reduction
- Physical therapy
- Anti-inflammatory medication such as
- Prescrition anti-inflammatory
- Cortisone injections.
Long Term Treatment:
In cases that are persistent,
- Orthotic devices
- High arches require softer
orthotics for shock absorption.
- Flattened arches require a
more rigid orthosis to control pronation.
- Plantar fascia and calf muscle