Plantar Fascitis

  1. Definition:
    It's a common condition characterized by inflammation of the plantar fascia, a thick band of tissue that runs along the bottom of the foot, connecting the heel bone to the toes. Plantar fasciitis is one of the most common causes of heel pain in adults

  2. Principal causes:

    The exact cause of plantar fasciitis is not always clear, but it's often related to repetitive strain or overuse of the plantar fascia. Factors that may increase the risk of developing plantar fasciitis include:

    • Overuse: Activities that involve repetitive stress on the feet, such as running, walking long distances, or standing for extended periods.

    • Foot structure: Flat feet, high arches, or abnormal foot mechanics can put added strain on the plantar fascia.

    • Improper footwear: Wearing shoes with inadequate arch support, worn-out soles, or improper fit can contribute to the development of plantar fasciitis.

    • Obesity: Excess body weight can increase pressure on the plantar fascia and contribute to inflammation and pain.


  3. Symptoms:

    Heel pain: Pain and tenderness in the heel, particularly with the first steps in the morning or after periods of rest. The pain may improve with activity but worsen again after prolonged standing or walking.

    • Stiffness: Stiffness and limited mobility in the foot, especially in the morning or after periods of inactivity.

    • Swelling: Swelling and inflammation along the bottom of the foot, particularly near the heel

  4. Our Treatment as a EvivaPHYSIO:

    Treatment for plantar fasciitis aims to alleviate pain and inflammation and may include:

  • Rest and activity modification: Avoiding activities that exacerbate symptoms and giving the foot time to heal.

  • Ice therapy: Applying ice packs to the affected area for 15-20 minutes several times a day to reduce pain and inflammation.

  • Stretching exercises: Performing specific stretches to stretch the plantar fascia and Achilles tendon can help relieve tension and improve flexibility.

  • Footwear modifications: Wearing supportive shoes with cushioned soles and good arch support can help reduce pressure on the plantar fascia and alleviate symptoms.

  • Orthotic devices: Using custom orthotic inserts or heel cups may be recommended to provide additional support and cushioning for the foot.

In more severe cases of plantar fasciitis that do not respond to conservative treatments, medical interventions such as corticosteroid injections or shockwave therapy may be considered to reduce pain and inflammation. In rare cases, surgical release of the plantar fascia may be necessary to alleviate symptoms.

Overall, the prognosis for plantar fasciitis is generally good with appropriate treatment. Most individuals experience significant relief of symptoms and can return to normal activities with conservative measures. However, it's essential to seek medical attention for proper diagnosis and management to prevent long-term complications and ensure optimal recovery.

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Heel Spur

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Iliotibial Band Syndrome (ITBS)