What is Plantar Fasciitis?

Plantar fasciitis refers to pain in the sole, arch and heel of the foot.

The fascia is a strong band of connective tissue which links the heel to the toes and supports the long arch in the foot. When it becomes strained, overused or damaged it is usually referred to as plantar fasciitis.

This term is technically incorrect because “itis” at the end of any word refers to inflammation of that organ or structure. In very few cases of foot pain, is there actually an inflammatory process at work, and hence this type of pain does not usually respond well to anti-inflammatory medication.

We prefer to use the term plantar fasciiopathy, as “opathy” as a suffix on any word means a disorder of , and that is a more correct term for most foot pains.

Symptoms of Plantar Fasciitis / Plantar Fasciiopathy

  • Pain in arch of foot or heel
  • Worse after rest or first thing in morning but loosens out after a few steps
  • Loosens out but worsens again as the day goes on
  • Worse after prolonged standing, walking, running

Predisposing factors or Causes of Plantar fasciitis / plantar fasciopathy

 

  • Flat feet or high arches
  • Tight calves
  • Standing a lot at work
  • Wearing sloppy shoes or slip ons (flip flops)
  • Obesity

Treatment for Plantar Fasciitis / Plantar fasciopathy

In our clinic we believe you need to do a detailed assessment to identify the main factors causing the complaint and then address them. This involves doing a thorough biomechanical assessment.

Treatment will then be geared towardsReleasing the plantar fascia with deep tissue release, for the treatment of palantar fasciitis

  • Treating the pain using electrotherapy and soft tissue release or massage
  • Stretching or releasing all tight structures eg: the plantar fascia, calves, hip flexors
  • Strengthening weak muscles
  • Correcting any biomechanical deviations
  • Providing Orthotics
  • Gait re-education

As with any pain relating to overuse or poor biomechanical alignment, it is essential that you not only get relief of pain, but you also address the causative factors, so that the condition will not recur.