What is plantar fasciitis?
Plantar fasciitis is a very common condition in which the band of tissue connecting your heel bone with your toes gets strained. This causes it to become inflamed, irritated, and weak, triggering heel pain when you walk or stand. The pain and stiffness may be especially pronounced when you take your first steps in the morning, then improve somewhat, only to worsen throughout the day. Standing for long periods of time or walking up stairs may also worsen the pain.
What causes it?
Most anyone can get plantar fasciitis, but numerous factors can increase your risk, including:
- Being overweight or obese
- Being middle-aged or older
- Having flat, highly arched, or pronated feet
- Having tight Achilles tendons
- Not training properly for athletic activities
- Spending lengthy time on your feet, such as at work or in sports
- Wearing poorly fitting, worn out, or unsupportive shoes
How is it diagnosed?
To determine whether you have plantar fasciitis, your doctor will likely talk to you about your symptoms and lifestyle habits and any injuries or illnesses you’ve had, then have you stand and walk. If an injury such as a stress fracture is suspected, an X-ray may be ordered..
How is plantar fasciitis treated?
A variety of treatments and techniques may help improve plantar fasciitis symptoms, including resting your feet, avoiding walking or running on hard surfaces, and wearing comfortable, supportive shoes. Cortisone injections may help some patients, and taking anti-inflammatory and pain-reducing drugs such as ibuprofen is a common treatment. Physical therapy and stretches throughout each day, especially first thing in the morning, may also help. Prolotherapy and PRP can help by strengthening the fascia and improving support in the arch of your foot.
When will my symptoms improve?
Because plantar fasciitis often stems from injuries that have developed over time, getting treatment and avoiding those injuries may lessen symptoms within a few weeks. It may take longer — months or even a year — for your symptoms to be alleviated completely. Sticking with your treatment plan can help ensure swifter healing.
