Symptoms and Treatment of Plantar Fasciitis
Plantar Fasciitis happens when the plantar fascia—a shock-absorbing, thick band of fibrous tissue connecting the heel to the toes—becomes inflamed from the development of microscopic tears. Tears occur from overuse and are commonly seen in people over 40, those with jobs that require long periods of standing, runners and the overweight, or in those who do not wear supportive shoes. A stabbing pain in the heel that’s especially severe when walking first thing in the morning is a hallmark symptom of plantar fasciitis. The pain usually decreases somewhat during the day after the plantar fascia loosens with walking, but can worsen with prolonged sitting.
Diagnosis
Plantar fasciitis is diagnosed by physical examination and by questioning the patient about the pain, when it occurs and their lifestyle and exercise habits. No imaging studies are necessary, unless it’s suspected that a bone spur, a fracture or a pinched nerve near the spine might be causing the pain.
Treatment
Treatment for plantar fasciitis begins with non-steroidal, anti-inflammatory drugs, stretching or physical therapy, and using a splint at night to keep the foot in a flexed position allowing the plantar fascia to stretch. For more difficult cases, a steroid injection into the fascia can reduce the inflammation. The use
of sound wave or laser therapy may also be helpful. Surgery is rarely indicated to release the plantar fascia from the heel bone.
Prevention is the best treatment. A stretching regimen, wearing supportive shoes and maintaining a healthy weight can help
to prevent this painful condition.
