Plantar Fasciitis (Heel Pain)

Cure your Heel Pain today. Orthopaedic Specialist Clinic for Heel Pain. Fast, Safe and Effective treatment is available. Call us +65 97731458 for appointment today.

Plantar fasciitis  is one of the most common causes of heel pain. It involves pain and inflammation of a thick band of tissue, called the plantar fascia, that runs across the bottom of your foot and connects your heel bone to your toes.

Plantar fasciitis commonly causes stabbing pain that usually occurs with your very first steps in the morning. Once your foot limbers up, the pain of plantar fasciitis normally decreases, but it may return after long periods of standing or after getting up from a seated position.

Plantar fasciitis is particularly common in runners. In addition, people who are overweight and those who wear shoes with inadequate support are at risk of plantar fasciitis.

Symptoms of Plantar Fasciitis
Plantar fasciitis typically causes a stabbing pain in the bottom of your foot near the heel. The pain is usually worst with the first few steps after awakening, although it can also be triggered by long periods of standing or getting up from a seated position.
Causes of Plantar Fasciitis
Plantar fasciitis typically causes a stabbing pain in the bottom of your foot near the heel. The pain is usually worst with the first few steps after awakening, although it can also be triggered by long periods of standing or getting up from a seated position.
Complications of Plantar Fasciitis
Ignoring plantar fasciitis may result in chronic heel pain that hinders your regular activities. If you change the way you walk to minimize plantar fasciitis pain, you might also develop foot, knee, hip or back problems.
Test and Diagnosis of Plantar Fasciitis

During the physical exam, our doctor checks for points of tenderness in your foot. The location of your pain can help determine its cause.

Imaging Tests:

Usually no tests are necessary. The diagnosis is made based on the history and physical examination. Occasionally your doctor may suggest an X-ray or magnetic resonance imaging (MRI) to make sure your pain isn’t being caused by another problem, such as a stress fracture or a pinched nerve.

Sometimes an X-ray shows a spur of bone projecting forward from the heel bone. In the past, these bone spurs were often blamed for heel pain and removed surgically. But many people who have bone spurs on their heels have no heel pain.

Treatment of Plantar Fasciitis

Most people who have plantar fasciitis recover with conservative treatments in just a few months.

Medications
NSAIDs (Non Steroid Anti-Inflammatory Drugs) may ease the pain and inflammation associated with plantar fasciitis.

Therapies
Stretching and strengthening exercises or use of specialized devices may provide symptom relief. These include:

  • Physical therapy. A physical therapist can instruct you in a series of exercises to stretch the plantar fascia and Achilles tendon and to strengthen lower leg muscles, which stabilize your ankle and heel. A therapist may also teach you to apply athletic taping to support the bottom of your foot.
  • Night splints. Your physical therapist or doctor may recommend wearing a splint that stretches your calf and the arch of your foot while you sleep. This holds the plantar fascia and Achilles tendon in a lengthened position overnight and facilitates stretching.
  • Orthotics. Your doctor may prescribe off-the-shelf heel cups, cushions or custom-fitted arch supports (orthotics) to help distribute pressure to your feet more evenly.

Surgical or other procedures
When more-conservative measures aren’t working, your doctor might recommend:

  • Steroid shots. Injecting a type of steroid medication into the tender area can provide temporary pain relief. Multiple injections aren’t recommended because they can weaken your plantar fascia and possibly cause it to rupture, as well as shrink the fat pad covering your heel bone.
  • Extracorporeal shock wave therapy. In this procedure, sound waves are directed at the area of heel pain to stimulate healing. It’s usually used for chronic plantar fasciitis that hasn’t responded to more-conservative treatments. This procedure may cause bruises, swelling, pain, numbness or tingling and has not been shown to be consistently effective.
  • Surgery. Few people need surgery to detach the plantar fascia from the heel bone. It’s generally an option only when the pain is severe and all else fails. Side effects include a weakening of the arch in your foot.

Cure your Heel Pain today. Orthopaedic Specialist Clinic for Heel Pain. Fast, Safe and Effective treatment is available. Call us +65 97731458 for appointment today.

Plantar Fasciitis (Heel Pain)

Heel pain is sometimes associated directly with plantar fasciitis, an inflammation of the plantar fascia at the bottom of the foot.

Plantar fasciitis is the most common cause of heel pain. It is caused by repeated strain on the plantar fascia, the ligament that connects the heel bone to the toes, supporting the arch of the foot. A strained plantar fascia causes weakness, swelling, and inflammation, especially in one or both heels. Causes of plantar fasciitis include rolling the feet inward while walking; having high arches or flat feet; and running, walking, or standing for along periods of time. Symptoms include pain upon waking and pain while walking and climbing stairs.

Definition of Plantar Fasciitis:
Plantar fasciitis is one of the most common causes of heel pain. It is due to inflammation of a thick band of tissue called the plantar fascia, which runs across the bottom of the foot, connecting the heel bone to the toes.

How is heel pain (plantar fasciitis) diagnosed?
The chief diagnostic sign of these problems is pain in the bottom of the heel or arch when first standing, which gradually improves with walking. This pain may later return with continued walking. The pain usually subsides after a period of rest.

What are the causes of Plantar Fasciitis?
Under normal circumstances, the plantar fascia acts like a shock-absorbing bowstring, supporting the arch of the foot. But when the tension on the bowstring becomes too great, it creates small tears in the fascia. Repetitive stretching and tearing causes the fascia to become irritated or inflamed.

How to prevent heel pain (plantar fasciitis)?
Maintaining a healthy weight minimizes the stress on the plantar fascia and choosing supportive shoes by avoiding high heels and buy shoes with a low to moderate heel, good arch support and shock absorbency. Do not go barefoot, especially on hard surfaces.

What are the treatment options available for plantar fasciitis?
About 90 percent of people who suffer from plantar fasciitis recover with conservative treatments in just a few months. Anti-inflammatory drugs will be able to reduce pain and inflammation, although they do not treat the underlying problem. Anti-inflammatory injection will help to reduce the inflammation of the soft tissue. If the symptom persisted, Shockwave therapy or Platelet Rich Plasma (PRP) therapy may be performed to treat the plantar fasciitis.

When does surgery for plantar fasciitis become a treatment option?
Surgery should be reserved for patients who have made every effort to fully participate in conservative treatments, but continue to have pain from plantar fasciitis. Patients should fit the following criteria:

  • Symptoms for at least 6 months of treatment
  • Participation in daily treatments (exercises, stretches, etc.)
  • Understanding of the potential risks and benefits of surgery

If you fit these criteria, then surgery may be an option in the treatment of your plantar fasciitis.