Plantar fasciitis typically presents as sharp, stabbing pain in the heel or the arch of the foot. The pain is usually worse in the morning when taking the first few steps out of bed, and it may also worsen after prolonged periods of standing, walking, or running. Some individuals may experience increased discomfort after physical activities, but others may feel pain even at rest.

Causes of Plantar Fasciitis:

1. Overuse or repetitive strain: Engaging in activities that put excessive stress on the foot, such as running, dancing, or standing for long periods, can cause micro-tears in the plantar fascia.

2. Foot structure and mechanics: Flat feet or high arches, improper foot alignment, or tight calf muscles can contribute to abnormal strain on the plantar fascia.

3. Obesity: Being overweight can increase the pressure on the plantar fascia, leading to inflammation and pain.

4. Age: Plantar fasciitis is more common in adults between the ages of 40 and 60.

Treatment Options:

1. Rest: Avoiding activities that exacerbate the pain can help give the plantar fascia time to heal.

2. Ice: Applying ice to the affected area can help reduce inflammation and alleviate pain. Use an ice pack for 15-20 minutes several times a day.

3. Stretching exercises: Gentle stretching exercises for the calf muscles and the plantar fascia can improve flexibility and reduce tension on the fascia.

4. Orthotics and supportive footwear: Custom-made orthotic inserts or properly supportive shoes can help distribute weight more evenly and reduce strain on the plantar fascia.

5. Night splints: Wearing a night splint can help keep the foot and ankle in a stretched position while sleeping, promoting healing.

6. Physical therapy: A physical therapist can provide targeted exercises and techniques to improve foot mechanics and reduce pain.

7. Nonsteroidal anti-inflammatory drugs (NSAIDs): Over-the-counter NSAIDs, such as ibuprofen or naproxen, can help manage pain and inflammation. However, prolonged use should be discussed with a healthcare professional.

8. Corticosteroid injections: In some cases, corticosteroid injections may be prescribed by a doctor to reduce inflammation and provide temporary pain relief.

9. Extracorporeal Shock Wave Therapy (ESWT): This treatment uses shock waves to stimulate healing and reduce pain. It is usually considered for chronic cases that have not responded to other treatments.

10. Platelet-rich plasma (PRP) therapy: PRP involves injecting concentrated platelets from the patient’s blood into the affected area to promote healing.

11. Surgery: In severe cases where conservative treatments have failed, surgery may be considered to release tension on the plantar fascia or to remove any bone spurs causing the issue.

Come see us at Parr Foot & Ankle Specialists for a proper diagnosis and personalized treatment plan for plantar fasciitis. Early intervention and appropriate care can lead to a faster and more successful recovery.