Conditions

Plantar Fasciitis

Plantar fasciitis is a condition characterized by severe heel pain, particularly evident during the first few steps after waking up. This ailment stems from the inflammation of the plantar fascia, a tough band of tissue linking the heel bone to the toes' base.

Causes

Factors contributing to plantar fasciitis include being female, overweight, engaging in jobs with prolonged standing or walking on hard surfaces, and participating in high-impact activities with inadequate ankle flexibility. Individuals with either very flat feet or high arches are also more susceptible.

Symptoms

Typically, plantar fasciitis manifests gradually with mild pain similar to a stone bruise at the heel bone, particularly post-exercise. The pain intensifies post-rest, potentially disrupting daily activities and even altering one's gait, leading to secondary foot, knee, hip, or back issues if left untreated.

Treatments

Effective plantar fasciitis treatment revolves around stretching and managing inflammation. Stretching exercises targeting the Achilles tendon and plantar fascia, coupled with rest and ice application, aid in pain alleviation. Nonsteroidal anti-inflammatory drugs (NSAIDs) might be prescribed to reduce inflammation, while orthotic inserts and supportive footwear provide additional relief. In severe cases, steroid injections or immobilization with a walking cast or splint may be necessary. Surgery is reserved for chronic cases resistant to conservative treatments.

  • Stretching Program: A dedicated stretching regimen involving plantar fascia-specific and Achilles tendon stretches, performed multiple times daily, helps alleviate symptoms and maintain flexibility.
  • Anti-inflammatory Medications: NSAIDs can effectively manage arch and heel inflammation. They should be consumed as directed, preferably with food to mitigate gastrointestinal discomfort.
  • Foot Inserts: Over-the-counter inserts like SuperFeet can provide supplementary arch support and cushioning, with some patients requiring custom inserts for optimal relief.

Plantar fasciitis treatment focuses on relieving pain, reducing inflammation, and restoring foot flexibility to facilitate healing and prevent chronicity.

Make An Appointment

If you're experiencing any foot or ankle conditions, we’re here to help. Schedule an appointment today to get the care you need.

Frequently Asked Questions

Is walking good for plantar fasciitis?

Yes—gentle exercise on supportive shoes may slow down the loss of mobility and soothe stiffness, though not over long distances or over stressful situations that aggravate the pain until the symptoms are controlled. Rest and stretching help too.

Why am I suddenly getting plantar fasciitis?

Sharp plantar fascia pain is usually preceded by an abrupt increase in activity, an inability to remain standing, improper footwear, or tight calf/achilles muscles, which put the fascia at a higher rate of stress than it can comfortably adjust to.

What can be mistaken for plantar fasciitis?

The heel spurs, the Achilles tendinitis, the stress fracture, and the bursitis or nerve entrapment can also give rise to the heel pain; a medical examination may help to determine the actual cause.

What shoes are best for plantar fasciitis?

Select shoes that have good arch support, cushioning, a hard heel counter, and shock absorption. Athletic shoes or supportive walking shoes provide assistance in reducing strain and pain. Do not wear flat and unsupportive shoes.

Still have questions?

Reach out directly to Dr. Kamel.