Plantar fasciitis

Plantar Fasciitis

Plantar Fasciitis

Plantar fasciitis is one of the most common causes of foot pain. It may also be referred to as plantar heel pain, plantar fasciosis or plantar fasciopathy. It initially involves inflammation of the plantar fascia which is the tough fibrous band of tissue (fascia) connecting your heel bone to the base of your toes and then after the initial inflammation settles a wear and tear process of the plantar fascitis results in more chronic problems.

It is estimated that 3-7% of the general population and approximately 8-10% of the running population will get plantar fasciitis at some point. 

Plantar fasciitis is most commonly diagnosed history and examinationwith pinpoint tenderness meaning that diagnosis can be quite straight forward. In most cases imaging (e.g. ultrasound scan or MRI) is not required to confirm this diagnosis or plan management of the problem.  

In the vast majority of cases patient’s symptoms will have resolved by 1 year. However, this can vary with some patients getting results within  3 months after taking the appropriate rehabilitation steps whilst others can still take up to 18-24 months.  

What are the symptoms of Plantar Fasciitis?
  • Pain at the base of the heel (more commonly inside edge) and/or along the plantar fascia towards the toes. 
  • Pain is usually worse after long periods of rest; particularly when you take the first few steps on a morning, but ease, albeit not disappearing fully,  after 10-15 minutes.   
  • Pain when standing for long periods or after a busy day on your feet 

 

 

What causes Plantar Fasciitis?

There are a number of risk factors and causes identified that can trigger plantar fasciitis: 

  • Sudden increase in load or stress through the heel – eg a recently increased walking or running load 
  • Being overweight – due to the excess force through the heel. 
  • Altered foot biomechanics – for example if you have particularly high aches (pes cavus) or flat feet (pes planus).  
  • Tight calf muscles 
  • Poor footwear- for example worn-out shoes, flip-flops, ballet pumps, flat non cushioned baseball boots.
Treatment options

Check out our information leaflet and video for treatment options and plantar fascia exercises. 

To download our useful information leaflet click here

 

Please note -
These are general exercises, seek advice if you are unsure.

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