Plantar fasciitis is a painful condition that occurs when the plantar fascia, a band of tissue that runs from the heel to the toes, becomes inflamed. It's often caused by overuse or putting too much stress on the feet. Some common causes include:
- Ill-fitting shoes: Shoes that don't fit properly can contribute to plantar fasciitis.
- Standing on hard surfaces: Standing on hard floors for long periods can increase the risk of developing plantar fasciitis.
- Foot structure: People with flat feet (hyperpronators) may be more prone to plantar fasciitis as the foot bones do not “lock” as you step forward.
- Weight: Being overweight can increase the load on the feet and strain the plantar fascia.
- Tight calf muscles: Tight calf muscles can pull on the heel bone and cause pain.
Some common symptoms of plantar fasciitis include:
- A sharp pain in the heel or arch of the foot.
- Pain that's worse in the morning or after sitting for a long time.
Treatments for plantar fasciitis include:
- Rest
- Switching your exercise to non-weight bearing forms, cycling, rowing, and swimming.
- Stretching your calf muscles and intrinsic muscle strengthening exercises
- Taping of your arch and heel
- Ice massage with a frozen water bottle
- Off the shelf or custom orthotic inserts
- PT
- Platelet Rich Plasma Injections
- Shockwave therapy (FDA Approved)
Plantar fascia release surgery is never indicated. Cutting the plantar fascia will shift the strain in your foot to other sites within the foot. This can result in as much or more pain in your foot and ankle.