- Walking gait abnormalities, which place excessive stress on the heel bone, ligaments, and nerves near the heel
- Running or jogging, especially on hard surfaces
- Poorly fitted or badly worn shoes, especially those lacking appropriate arch support
- Excess weight and obesity
Other risk factors associated with plantar fasciitis include:
- Increasing age, which decreases plantar fascia flexibility and thins the heel's protective fat pad
- Spending most of the day on one's feet
- Frequent short bursts of physical activity
- Having flat feet or high arch feet.
- Pain on the bottom of the foot near the heel
- Pain with the first few steps after getting out of bed in the morning, or after a long period of rest, such as after a long car ride. The pain subsides after a few minutes of walking
- Greater pain after (not during) exercise or activity.
- A high arch or flat feet
- An area of maximum tenderness on the bottom of your foot, just in front of your heel bone
- Pain that gets worse when you flex your foot and the doctor pushes on the plantar fascia. The pain improves when you point your toes down
- Limited "up" motion of your ankle.
It may include ice rolling for 15-20 minutes, avoiding activities that increase the pain, self stretch techniques several times in a day, strengthening the sole muscles, balance exercises as shown in the picture above.
Drugs such as ibuprofen or naproxen reduce pain and inflammation.
Cortisone, a type of steroid, is a powerful anti-inflammatory medication. It can be injected into the plantar fascia to reduce inflammation and pain.
Shoes with thick soles and extra cushioning can reduce pain with standing and walking. As you step and your heel strikes the ground, a significant amount of tension is placed on the fascia, which causes microtrauma (tiny tears in the tissue). A cushioned shoe or insert reduces this tension and the microtrauma that occurs with every step. Soft silicone heel pads are inexpensive and work by elevating and cushioning your heel. Pre-made or custom orthotics (shoe inserts) are also helpful.
Most people sleep with their feet pointed down. This relaxes the plantar fascia and is one of the reasons for morning heel pain. A night splint stretches the plantar fascia while you sleep. Although it can be difficult to sleep with, a night splint is very effective and does not have to be used once the pain is gone.
we shall not discuss the surgical procedure.
For any query or treatment for plantar fasciitis contact...
Dwarka, New Delhi 110075