What is Plantar Fasciitis?

The plantar fascia is a thick band of tissue that runs along the arch of the foot, connecting the heel to the toes. It serves as a shock absorber at the bottom of the feet. 

Contrary to popular belief, the vast majority of plantar fasciitis cases are gradual in onset and result from thickening and small tears in the plantar fascia, rather than a sudden inflammation.

What are the symptoms of plantar fasciitis?

The hallmark symptom of plantar fasciitis is heel pain that is most severe when taking your first steps in the morning. Other symptoms that may be experienced are:

  • Pain that occurs when getting up after long periods of sitting
  • Pain after prolonged standing
  • Pain with walking

Who gets plantar fasciitis?

There are several risk factors for getting plantar fasciitis

  • Shortened calf muscles occurring from foot arches that are very low or very high, from prolonged sitting or footwear such as high-heels
  • Foot exposure to hard surfaces during activities or jobs that require long periods of standing, walking or jumping, such as running, dancing or factory work
  • Increased stress on the fascia from being overweight, being barefoot or starting a new activity too quickly.

What are the treatments for plantar fasciitis?

Plantar fasciitis can be diagnosed in the office. We use musculoskeletal ultrasound to directly visualize changes in the plantar fascia.  X-ray may be helpful to rule out other causes of heel pain such as stress fractures.  

Specific strengthening and stretching exercises are the basis for any treatment plan. Other conservative treatments may be added to improve symptoms or enhance recovery. This includes wearing arch supports, using night splints, applying tape, or wearing an assistive device.

When these initial treatments are not enough, we offer other treatment options, including steroid injections (with caution).

What’s Next?

Schedule your free consultation to evaluate your individual circumstances. During this call you’ll speak directly with Dr. Jow, our sports medicine physician. While we can’t give out specific advice until you become a patient, we can discuss your issue and determine if Avid is the best fit for you. If an in-person visit is recommended, we will schedule it right away.

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