Plantar fasciitis is one of the most common orthopaedic conditions relating to the foot. It is when the thick tissue on the bottom of the foot (the plantar fascia) becomes inflamed and irritated, making it difficult to walk. This is most often the result of repeated episodes of minor but recurring injuries such as with frequent running or long periods of standing. The pain can be located in the heel area of the foot or in the arch. It is often worse in the morning due to the stiffness of the tissue and also becomes worse after long periods of walking. The pain often decreases with rest.

Diagnosis

Your podiatrist will exam your foot for swelling, redness, and tenderness of the area. X-rays and Ultrasounds may be taken.

Treatment

Initial treatment usually involves ice pack, heel stretching exercises, sports taping, orthotic insoles and shoe modifications. Anti-inflammatory medications may also be given. Treatment can span several weeks to months before symptoms improve. Most patients will see an improvement within 4 weeks. Further treatment may include steroid injections into the sole of the foot, or in certain serious situations a surgical procedure that releases the plantar fascia.

Without Treatment

Foot pain can continue, and progress into a severe condition that affects the ability to walk. Eventually, permanent damage to the plantar fascia or surrounding nerves may occur.