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Plantar Fascitis

Plantar fasciitis is the most common cause of heel pain in adult population requiring medical attention. Statistics show that there is a good chance that 1 in every 10 people will experience the symptoms of plantar fasciitis at some point in their life.[5] Historically plantar fasciitis has had quite a few synonyms namely chronic plantar heel pain, heel spur syndrome, runner’s heel, painful heel syndrome and calcaneal periostitis.

Clinical Anatomy with Pathological Features

Functions of the Plantar Aponeuroses/Fascia

The aponeurosis is important for

Risk Factors Associated with Plantar Fascitis

Knowledge of the risk factors of plantar fasciitis can help plan preventative & treatment strategies.

Clinical Examination

Plantar fasciitis is the most common cause of heel pain in adult population requiring medical attention. Statistics show that there is a good chance that 1 in every 10 people will experience the symptoms of plantar fasciitis at some point in their life. Historically plantar fasciitis has had quite a few synonyms namely chronic plantar heel pain, heel spur syndrome, runner’s heel, painful heel syndrome and calcaneal periostitis.

Differential Diagnosis

Treatment

The natural course of plantar fasciitis may last from 8-18 months making it a considerable duration of daily discomfort for the patient. Hence timely intervention can help significantly shorten the period of discomfort.

NSAIDs like naproxen or etodolac in the the acute stage are helpful in getting the pain and inflammation down.

At Alleviate

We are primarily focused on treating the chronic cases of plantar fasciitis we encounter with, Autologous platelet rich plasma (PRP) with Comprehensive prolotherapy. Addressing the thickened fascia with Platelet Rich Plasma, the adjoining Achilles tendon and ankle ligaments are subjected to comprehensive prolotherapy. Ideally we try to do around three sessions of this treatment at intervals of 2-3 weeks.

Surgery

We are primarily focused on treating the chronic cases of plantar fasciitis we encounter with, Autologous platelet rich plasma (PRP) with Comprehensive prolotherapy. Addressing the thickened fascia with Platelet Rich Plasma, the adjoining Achilles tendon and ankle ligaments are subjected to comprehensive prolotherapy. Ideally we try to do around three sessions of this treatment at intervals of 2-3 weeks.

FAQs - Plantar Fasciitis

What is a Plantar Fasciitis?

Plantar fasciitis is a condition affecting the plantar fascia. It is an inflammation of the plantar fascia, a thick fibrous band of tissue connecting the heel to the toes.

What are the most common causes of Plantar Fasciitis?

Plantar fasciitis is the inflammation of the plantar fascia, which is a thick, fibrous band of tissue that extends from the bottom of the toes, across the heel and attaches to the inside of the foot. Other common causes of Plantar Fasciitis includes overuse, obesity, flat feet and having high arches.

What common symptoms of Plantar Fasciitis?

The most common symptoms of Plantar Fasciitis include heel pain, pain in the heel or arch of the foot, pain that worsens during the first few steps in the morning, pain in the ball of the foot and pain in the heel after prolonged periods of standing or walking.

When should you see a doctor for Plantar Fasciitis?

If you are experiencing pain in your heel, arch, or foot, you should see a doctor for Plantar Fasciitis.

Are there any risks associated with Plantar Fasciitis?

Risk factors associated with plantar fasciitis include:

  • Calcaneal spurs are one of the common factors associated with plantar fasciitis
  • Aging - plantar fasciitis is most common in people between the ages of 40 and 60 years.
  • Overweight - people with a body mass index of 30 or more are twice as likely to develop the condition.
  • Excessive standing or walking
  • Sedentary lifestyle
  • Infrequent stretching and strengthening exercises
  • Inflamed tendons in the Achilles' tendon or the plantar fascia may cause plantar fasciitis.
  • prior injury and early sports participation
How can a doctor detect plantar fasciitis?

To detect plantar fasciitis, a doctor can check your feet for tenderness, inflammation, and pain on the bottom of your feet when you step forward. The doctor can also check for an irregularity in the way your foot hits the ground when you walk.

What are the Clinical Examination for plantar fasciitis?

A clinical examination for plantar fasciitis generally includes a detailed history of the cause of pain, a physical examination, a test to determine the strength of the plantar fascia, and an X-ray.

How plantar fasciitis is diagnosed?

Plantar fasciitis is diagnosed using following methods:

  • History and physical exam
  • X-rays
  • Ultrasound examination
  • MRI
  • Foot biomechanics analysis
What are the treatment options for plantar fasciitis?

The most common treatment for plantar fasciitis is rest, ice and stretching the foot to relieve tightness. Other treatments may include night splint, heel cup, orthotics, and corticosteroid injections. Using anti-inflammatory medicine and physical therapy can also help.

Is it better to stretch plantar fasciitis?

Yes. Stretching is an effective treatment for Plantar Fasciitis. Calf stretching exercise is an effective exercise to stretch your calf muscles, but to alleviate pain and stiffness from plantar fasciitis, a mild stretch and elevation of the foot are more advisable. These stretches are advisable two to three times a day.

What is a night splint, and how is it useful for plantar fasciitis?

A night splint is an orthopedic device that is used to reduce the symptoms of plantar fasciitis. The night splint device holds your calf and ankle in a fixed position while you sleep. It is used to stretch out the Calcaneal tendon and reduce the symptoms of plantar fasciitis.

Can Orthosis help plantar fasciitis?

Orthosis treatments are designed to help alleviate the discomfort associated with plantar fasciitis. Orthosis prefabricated and customized insoles work by supporting the longitudinal arch to help alleviate the pain associated with plantar fasciitis.

Is Extra-corporeal shock wave therapy helps in Plantar Fasciitis?

Extra-corporeal shock wave therapy (ESWT) is a treatment for pain management and has been found to be an effective treatment for some types of foot problems, including heel spurs and plantar fasciitis. The purpose of extra-corporal shock wave therapy is to disrupt tissue without damaging it.

Is Extra-corporeal shock wave therapy (ESWT) a non-invasive therapy?

Yes. Extra-corporeal shock wave therapy is a non-invasive procedure that uses intense pulses of sound waves to stimulate healing on the body.

What are the NSAIDs for plantar fasciitis?

NSAIDs such as Ibuprofen, Naproxen, or Etodolac in the acute stage help get the pain and inflammation down.

Is injection helpful for plantar fasciitis condition?

A corticosteroid injection is a medication (steroid) injected into the tissue around the plantar fascia to reduce inflammation and pain. Ultrasound guided injections are guided injections in which an ultrasound is used to locate a target a specific part of the foot, heel, or ankle.

Should I undergo surgery for plantar fasciitis?

Most of the Plantar Fasciitis conditions can be treated with a conservative treatment approach. Only in a few of the cases, plantar fascia release or tibialis posterior release can be done.

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