Plantar fasciitis is the
inflammation of a specific grouping of tissues called the plantar fascia which
run between the bottom of the heel and the toes. If this fibrous tissue is
continuously and vigorously overstretched, by activities such as jumping or
running, there is a chance of developing plantar fasciitis. The condition
involves inflammation of the plantar fascia, with pain most commonly felt on
the underside of the heel, although the condition can affect any part of the
plantar fascia, and produce painful episodes anywhere between the heel bone and
the ball of the foot.
Plantar Fasciitis Causes
- Flat feet
- Excessively high foot arches
- Overpronation (excessive inward rolling of the feet whilst walking and running)
- Obesity
- Leading a sedentary lifestyle with a lack of exercise
- Trauma
- Ill fitting shoes
Strenuous exercise is often
the culprit, with the condition experienced by athletes and sports lovers who
fail to take adequate periods of rest to allow the muscles and the plantar
fascia to recover. When muscles become fatigued, a greater strain is placed on
the arches and the plantar fascia and damage becomes more likely. The anatomy
of the foot can make people predisposed to develop plantar fasciitis, with gait
abnormalities causing excessive forces to act on the plantar fascia. Shoes with
a lack of arch support are commonly at fault, which could be old running shoes,
flip-flops or even barefoot shoes. Any footwear which requires the muscles in
the feet to work harder, or leased the arches unsupported can contribute to
this condition.
Plantar Fasciitis Symptoms
All the above factors may
lead to the development of tiny tears forming in the plantar fascia, and the
main symptom is pain in the heel or the underside of the foot, with the
severity of the pain depending on the extent of the condition. The pain is
confined to the heel, foot arch and to a much lesser extent, the ball of the
foot.
The pain is often more acute
when one has been immobile for a while; for instance after sleeping for several
hours. The reason for this is that the tissues in the foot contract
significantly during rest and the sudden stretching when the first few steps
are taken can cause intense pain. As the plantar fascia expands more as one
walks, the pain usually decreases to some extent, although may remain as a
persistence ache rather than the stabbing pain often experienced first thing in
the morning.
Managing Plantar Fasciitis
Symptoms
It is important to seek
medical attention if the pain does not abate after a few days of rest. It is
only through the right diagnosis and medical treatment that this condition can
be managed, and an early diagnosis will shorten the recovery period
significantly. Rest is helpful, as the pain is not usually felt when the weight
is off the feet, however stretching exercises are advised to prevent the
plantar fascia from contracting. There are a number of plantar fasciitis exercises which can help to gently stretch out the plantar fascia and speed up
the healing process. Many sufferers find that orthotic devices such as heel
seats eradicate the pain totally, with plantar fasciitis splints another highly
effective treatment.
Jane Rivero believes in prevention being the best treatment. However if plantar fasciitis does strike, there are a host of heel pain treatment options which are highly effective, and can even provide instant relief. She advises that back of heel pain is likely to be Achilles tendonitis, which has different treatments.
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