HEEL PAIN (Plantar fasciitis)

Plantar fasciitis is a common condition which causes pain in the heel and/or arch areas on the bottom of the foot. Symptoms of plantar fasciitis are from inflammation of the plantar fascia, which is a structure that expands along the bottom of the foot and most commonly becomes inflamed and painful in the bottom of the heel or arch area near it’s attachment to the heel. Pain is usually most noticeable in the morning when initially standing or anytime immediately following standing after a period of sitting. Plantar fasciitis is usually caused by chronic irritation rather than an acute injury and most often presents as heel pain.

Causes include irritation from a heel spur, repetitive injury, such as from running, or sudden increase in weight that in turn increases pressure on the foot. Poorly fitting shoes may also put abnormal pressure on the plantar fascia and cause irritation. Following an evaluation we may prescribe customized shoe inserts called orthoses to help alleviate the pain. Other treatments include, stretching exercises, ice packs or combination of warm and cold soaks called contrast baths, splints, cortisone injections or in persistent cases extracorporeal shockwave therapy (ESWT).

 

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