Dr. Salma Aziz, D.P.M, M.S.

Planter Fasciitis

What Is Plantar Fasciitis? …
“The plantar fascia is a ligament-like band running from your heel to the ball of your foot. This band pulls on the heel bone, raising the arch of your foot as it pushes off the ground. But if your foot moves incorrectly, the plantar fascia may become strained. The fascia may swell and its tiny fibers may begin to fray, causing plantar fasciitis.”
 
Causes: Plantar fasciitis is often caused by poor foot mechanics. If your flattens too much, the fascia may overstretch and swell. If your foot flattens too little, the fascia may ache from being pulled too tight.
Symptoms: with plantar fasciitis, the bottom of your foot may hurt when you stand, especially first thing in the morning. Pain usually occurs on the inside of the foot, near the spot where your heel and the arch meet. Pain may lessen after a few steps, but it comes back after rest with prolonged movement.
Related Problems: A heel spur is extra bone that may grow near the spot where the plantar fascia attaches to the heel. The heel spur form in response to the plantar fascia presses against a plantar bursa.

Reducing symptoms is your podiatrist’s first goal. Then he or she works to correct the cause of your problem. If your pain is due to poor foot mechanics, custom-made shoe inserts (orthotics) may help.

Reduce Symptoms:

• To relieve mild symptoms, try aspirin, ibuprofen, of other medication as directed. Rubbing ice on the affected area may also help.
• To reduce severe pain and swelling, your podiatrist may prescribe pills or injections. Physical therapy, such as ultrasound or stretching exercises, may also be recommended.
• To reduce symptoms caused by poor foot mechanics, your foot may be taped. This supports the arch and temporarily controls movement. Night splints may also help by stretching the fascia.

Control Movement: If taping helps, your podiatrist may prescribe orthoses. Built from plaster casts of your feet, these inserts control the way your foot moves. As a result, your symptoms should go away.