Plantar Fasciitis

11 min read

Plantar fasciitis is a common condition that causes pain in the heel and bottom of the foot. It is caused by inflammation of the plantar fascia, a thick band of tissue that runs across the bottom of the foot and connects the heel bone to the toes. The condition is often seen in people who are active, such as runners, and those who stand for long periods of time. It can also be caused by wearing shoes that do not provide enough support or cushioning.

The most common symptom of plantar fasciitis is a sharp pain in the heel or bottom of the foot. This pain is usually worse in the morning or after periods of inactivity. Other symptoms may include swelling, tenderness, and stiffness in the foot. The pain may also worsen with activity or when standing for long periods of time.

Diagnosis of plantar fasciitis is usually made based on a physical examination and a review of the patient's medical history. Imaging tests, such as X-rays or MRI scans, may be used to rule out other causes of heel pain. Treatment for plantar fasciitis typically includes rest, stretching exercises, and wearing supportive shoes. In some cases, medications or injections may be used to reduce pain and inflammation.

Symptoms

  • Pain in the heel or bottom of the foot, especially when first standing up in the morning or after sitting for a long period of time.
  • Pain that increases with activity, such as walking or running.
  • Pain that is worse after exercise.
  • Swelling in the heel or bottom of the foot.
  • Stiffness in the heel or bottom of the foot.
  • Redness in the heel or bottom of the foot.

If you are experiencing any of these symptoms, it is important to see a doctor for a proper diagnosis and treatment plan. Treatment for plantar fasciitis may include rest, ice, stretching, and medications. In some cases, surgery may be necessary.

Take the Plantar Fasciitis Assessment

Causes

Age

Age is one of the most common risk factors for plantar fasciitis. As we age, the plantar fascia becomes less flexible and more prone to injury. People over the age of 40 are more likely to develop plantar fasciitis than younger people.

Weight

Being overweight or obese can put extra strain on the plantar fascia, increasing the risk of developing plantar fasciitis. People who are overweight or obese should take extra care to maintain a healthy weight to reduce their risk of developing the condition.

Footwear

Wearing shoes that do not provide adequate support or cushioning can increase the risk of developing plantar fasciitis. Shoes that are too tight or too loose can also increase the risk. It is important to wear shoes that fit properly and provide adequate support and cushioning.

Activity Level

People who are physically active are more likely to develop plantar fasciitis than those who are not. Activities that involve running or jumping can put extra strain on the plantar fascia, increasing the risk of developing the condition. It is important to warm up before engaging in any physical activity and to wear shoes that provide adequate support and cushioning.

Occupation

Certain occupations can increase the risk of developing plantar fasciitis. Jobs that involve standing or walking for long periods of time can put extra strain on the plantar fascia. It is important for people in these occupations to take regular breaks and to wear shoes that provide adequate support and cushioning.

Getting a Diagnosis

What Are the Symptoms of Plantar Fasciitis?

The most common symptom of plantar fasciitis is a sharp pain in the heel or arch of the foot. The pain is usually worse in the morning or after periods of rest. Other symptoms may include:

  • Pain that increases with activity
  • Pain that increases after standing or walking for long periods of time
  • Pain that is worse after exercise
  • Swelling or tenderness in the heel or arch of the foot

How Is Plantar Fasciitis Diagnosed?

Your doctor will ask about your symptoms and medical history and examine your foot. They may also order imaging tests, such as an X-ray or MRI, to rule out other causes of heel pain. Your doctor may also recommend a physical therapy program to help reduce pain and improve flexibility.

What Are the Treatment Options for Plantar Fasciitis?

Treatment for plantar fasciitis may include rest, ice, stretching exercises, orthotics, and medications. In some cases, surgery may be necessary. Your doctor will recommend the best treatment plan for you based on your symptoms and medical history.

Questions for Your Doctor

Diagnosis

Your doctor will need to diagnose your condition in order to provide the best treatment. Your doctor may ask you questions about your symptoms and medical history, and may also perform a physical exam. Your doctor may also order imaging tests, such as an X-ray or MRI, to confirm the diagnosis.

Treatment Options

Once your doctor has diagnosed your condition, they will discuss treatment options with you. Treatment options may include rest, stretching exercises, physical therapy, orthotics, and medications. Your doctor may also recommend lifestyle changes, such as losing weight or wearing supportive shoes.

Follow-up Care

Your doctor may recommend follow-up care to monitor your progress. This may include regular check-ups, physical therapy sessions, or imaging tests. Your doctor may also recommend lifestyle changes to help manage your symptoms.

When to Seek Medical Attention

If your symptoms worsen or do not improve with treatment, it is important to seek medical attention. Your doctor may recommend additional tests or treatments to help manage your symptoms.

Treatment

Rest

Resting the affected foot is one of the most important treatments for plantar fasciitis. This means avoiding activities that put strain on the foot, such as running, jumping, and walking for long periods of time. It is also important to wear supportive shoes that provide cushioning and arch support.

Ice

Applying ice to the affected area can help reduce inflammation and pain. Ice should be applied for 15-20 minutes at a time, several times a day. It is important to wrap the ice in a towel or cloth to avoid direct contact with the skin.

Stretching

Stretching the calf muscles and the plantar fascia can help reduce pain and improve flexibility. This can be done by performing toe stretches, calf stretches, and plantar fascia stretches. It is important to stretch regularly to maintain flexibility and reduce pain.

Orthotics

Orthotics are special shoe inserts that provide arch support and cushioning. They can help reduce pain and improve foot function. Orthotics can be purchased over-the-counter or custom-made by a podiatrist.

Medication

Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen can help reduce inflammation and pain. It is important to follow the instructions on the label and not take more than the recommended dose.

Corticosteroid Injections

Corticosteroid injections can be used to reduce inflammation and pain. These injections are usually given by a doctor and should only be used as a last resort.

Surgery

In some cases, surgery may be necessary to treat plantar fasciitis. Surgery is usually only recommended if other treatments have failed. The type of surgery will depend on the severity of the condition.

Drugs & Medications

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

NSAIDs are the most commonly prescribed drugs for plantar fasciitis. These drugs work by reducing inflammation and pain. Common NSAIDs used to treat plantar fasciitis include ibuprofen, naproxen, and aspirin. These drugs can be taken orally or applied topically.

Corticosteroids

Corticosteroids are powerful anti-inflammatory drugs that can be injected directly into the affected area. These injections can provide quick relief from pain and inflammation. However, they should only be used in severe cases, as they can cause side effects such as thinning of the skin and increased risk of infection.

Plantar Fasciitis Splints

Plantar fasciitis splints are devices that are worn on the foot to help reduce the strain on the plantar fascia. These splints can be worn during the day or at night and can help reduce pain and inflammation. They can also help to improve flexibility and range of motion.

Physical Therapy

Physical therapy is an important part of treating plantar fasciitis. Physical therapy can help to strengthen the muscles and tendons in the foot, as well as improve flexibility and range of motion. Stretching exercises can also help to reduce pain and inflammation.

Surgery

In some cases, surgery may be necessary to treat plantar fasciitis. Surgery can help to release the tension on the plantar fascia and reduce pain and inflammation. However, surgery should only be considered as a last resort, as it can be expensive and have a long recovery time.

Conclusion

Plantar fasciitis can be a difficult condition to treat, but there are a variety of drugs and treatments available to help reduce pain and inflammation. NSAIDs, corticosteroids, plantar fasciitis splints, physical therapy, and surgery are all options that can be used to treat this condition. It is important to speak to your doctor to determine the best treatment plan for you.

Diet

Foods to Eat

Eating a healthy, balanced diet can help reduce inflammation and promote healing. Focus on eating plenty of fruits, vegetables, whole grains, and lean proteins. Here are some specific foods to include in your diet:

  • Omega-3 fatty acids: Salmon, tuna, mackerel, walnuts, and flaxseeds are all good sources of omega-3 fatty acids, which can help reduce inflammation.
  • Fruits and vegetables: Fruits and vegetables are packed with vitamins, minerals, and antioxidants, which can help reduce inflammation and promote healing.
  • Whole grains: Whole grains are a great source of fiber and other nutrients that can help reduce inflammation.
  • Lean proteins: Lean proteins, such as chicken, turkey, and fish, are a great source of protein, which can help promote healing.

Foods to Avoid

Certain foods can increase inflammation and make your symptoms worse. Try to avoid the following foods:

  • Refined carbohydrates: Refined carbohydrates, such as white bread and pasta, can increase inflammation.
  • Sugary foods and drinks: Sugary foods and drinks, such as candy and soda, can increase inflammation.
  • Processed meats: Processed meats, such as hot dogs and bacon, can increase inflammation.
  • Alcohol: Alcohol can increase inflammation and interfere with healing.

Conclusion

Eating a healthy, balanced diet can help reduce inflammation and promote healing. Focus on eating plenty of fruits, vegetables, whole grains, and lean proteins. Avoid refined carbohydrates, sugary foods and drinks, processed meats, and alcohol. If you have any questions about your diet, talk to your doctor or a registered dietitian.

Lifestyle

1. Wear Proper Footwear

Wearing the right shoes can make a big difference when it comes to managing plantar fasciitis. Look for shoes that provide good arch support and cushioning. Avoid shoes with thin soles or high heels, as these can put extra strain on the plantar fascia. If you’re having trouble finding the right shoes, consider visiting a podiatrist for advice.

2. Stretch Regularly

Stretching can help reduce the pain and discomfort associated with plantar fasciitis. Try to stretch your calves, feet, and Achilles tendon several times a day. You can also try rolling your foot over a tennis ball or frozen water bottle for a few minutes each day.

3. Lose Weight

Carrying extra weight can put extra strain on the plantar fascia, so losing weight can help reduce the pain associated with plantar fasciitis. Try to incorporate healthy eating and regular exercise into your daily routine. Even a small amount of weight loss can make a big difference.

4. Take Breaks

If you’re on your feet for long periods of time, take regular breaks to give your feet a rest. Try to sit down or elevate your feet whenever possible. You can also try wearing a night splint while you sleep to help reduce the strain on your plantar fascia.

5. Use Ice

Applying ice to the affected area can help reduce inflammation and pain. Try to ice your feet for 15-20 minutes several times a day. You can also try taking an over-the-counter anti-inflammatory medication to help reduce inflammation and pain.

Conclusion

Managing plantar fasciitis can be difficult, but there are a few lifestyle tips that can help. Try to wear proper footwear, stretch regularly, lose weight, take breaks, and use ice to reduce the pain and discomfort associated with plantar fasciitis. If you’re still having trouble managing your condition, consider visiting a podiatrist for advice.