The Reasons Behind Plantar Fasciitis

Symptoms and diagnosis for Plantar Fasciitis
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By Orthopaedic and Neurology Clinic

Plantar fasciitis info

What is define by Plantar fasciitis?

Plantar fasciitis can be one of the reason causes pain in the bottom of the heel. It may also be pain in the ball of the foot. The plantar fascia is a thick, weblike ligament that connects your heel to the front of your foot. It acts as a shock absorber and supports the arch of your foot, helping you walk.

Plantar fasciitis is one of the most common orthopedic complaints for foot pain. Your plantar fascia ligaments experience a lot of wear and tear in your daily life. Too much pressure on your feet can damage or tear the ligaments. The plantar fascia becomes inflamed, and the inflammation causes heel pain and stiffness.

What are some causes of Plantar fasciitis?

The causes of foot pain behind one experiencing plantar fasciitis can be a one or multiple factors. They include:

  • Overuse or repetitive activities: Engaging in activities that involve repetitive stress on the feet, such as running, dancing, or standing for long periods, can strain the plantar fascia and lead to inflammation and pain.

  • Foot mechanics and abnormalities: Certain foot mechanics and structural abnormalities can increase the risk of developing plantar fasciitis. These include having high arches, flat feet, or an abnormal walking pattern that puts excessive stress on the plantar fascia.

  • Obesity and weight gain: Excess weight can put additional stress on the plantar fascia, increasing the likelihood of developing the condition.

  • Improper footwear: Wearing shoes that lack proper arch support, cushioning, or do not fit well can contribute to the development of plantar fasciitis. High heels or shoes with inadequate arch support can strain the plantar fascia.

  • Age: Plantar fasciitis is more common in middle-aged and older individuals. The plantar fascia becomes less flexible and more prone to injury with age.

  • Occupational factors: Certain occupations that require prolonged standing or walking on hard surfaces, such as factory workers, teachers, or healthcare professionals, can increase the risk of developing plantar fasciitis.

  • Tight calf muscles: Having tight calf muscles can increase strain on the plantar fascia, contributing to the development of the condition.

It’s of interest to note that while these factors increase the risk of developing plantar fasciitis, the condition can still occur without any obvious cause. If you suspect you have plantar fasciitis, it is recommended to consult with our healthcare professional for an accurate diagnosis and appropriate treatment options.

“f your first steps in the morning cause a stabbing pain in your heel, you may have plantar fasciitis.”

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What types of diagnosis?

Our Specialist will perform a physical exam to check for tenderness in your foot and the exact location of the pain. This is to make sure that the pain isn’t the result of a different foot problem.

During the evaluation, he may ask you to flex your foot while they push on the plantar fascia to see if the pain gets worse as you flex and better as you point your toe. He’ll also note if you have mild redness or swelling.

Our doctor will evaluate the strength of your muscles and the health of your nerves by checking your:

  • reflexes
  • muscle tone
  • sense of touch and sight
  • coordination
  • balance

An X-ray or an MRI scan may be necessary to check that nothing else is causing your heel pain, such as a bone fracture.

Although you can’t really get a good look at soft tissues on an X-ray, the test is still useful for ruling out bone fractures, heel spurs, and other possible reasons.

Treatments for Plantar fasciitis

Most people who have plantar fasciitis recover in several months with conservative treatment, such as icing the painful area, stretching, and modifying or avoiding activities that cause pain.


Pain relievers can ease the pain and inflammation of plantar fasciitis.


Physical therapy or using special devices might relieve symptoms.

  • Physical therapy. Our physical therapist can show you exercises to stretch the plantar fascia and Achilles tendon and to strengthen lower leg muscles. She might also teach you to apply athletic taping to support the bottom of your foot.
  • Night splints. Our physical therapist might recommend that you wear a splint that holds the plantar fascia and Achilles tendon in a lengthened position overnight to promote stretching while you sleep.
  • Orthotics. Our doctor might prescribe custom-fitted arch supports (orthotics) to distribute the pressure on your feet more evenly.
  • Walking boot, canes or crutches. Our doctor might recommend one of these for a brief period either to keep you from moving your foot or to keep you from placing your full weight on your foot.

Surgical or other procedures

If more-conservative measures aren’t working after several months, Our Orthopaedic Surgeon might recommend:

  • Injections. Injecting steroid medication into the tender area can provide temporary pain relief. Multiple shots aren’t recommended because they can weaken your plantar fascia and possibly cause it to rupture. Platelet-rich plasma obtained from your own blood can be injected into the tender area to promote tissue healing. Ultrasound imaging during injections can assist in precise needle placement.
  • Extracorporeal shock wave therapy. Sound waves are directed at the area of heel pain to stimulate healing. This is for chronic plantar fasciitis that hasn’t responded to more-conservative treatments. Some studies show promising results, though this therapy hasn’t been shown to be consistently effective.
  • Surgery. Few people need surgery to detach the plantar fascia from the heel bone. It is generally an option only when the pain is severe and other treatments have failed. It can be done as an open procedure or through a small incision with local anesthesia.

Early consultation will best prevent any issues from deteriorate. Our team specialists can help you get back on your feet.

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