pronounced ("PLAN-tur fash-ee-EYE-tus)
This is the most common heel pain complaint we see in clinic. It is an inflammatory condition of the plantar fascia caused by micro tearing of the tissues of the fascia which connects to the heel bone. It is an overuse injury caused by running/walking/standing for long periods of time, especially when you are not conditioned to that activity. A change of surface (eg. road to track), poor shoe support, being overweight, sudden stretching of your sole as well as a tight Achilles tendon can a be causative factors. As Podiatrists we expect to see this condition in clinic in the autumn after people have been wearing flat sandals in the summer and it is very common in the 40-60 age group.
Plantar Fasciitis presents as severe pain under the heel in the morning when taking the first few steps out of bed, or when standing up after sitting for long periods of time. The pain can appear to subside after being on your feet but returns later on that day. The pain is not there when sleeping and would not wake you up in the middle of the night. The heel affected will often be warmer and can be slightly swollen. The pain can often radiate around the heel area and sometimes feels like it is around the edge coming up the inside of the heel into the arch of the foot.
Initially diagnose that it is Plantar Fasciitis, there are 40 conditions that affect the heel so it is important to address and treat the correct one.
Plantar Fasciitis takes time to recover from and establishing the causative factors is very important to a resolution. The sooner it is addressed the quicker it will heal, once the cause has been established the chance of re-occurrence is limited.
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