Plantar Fasciitis - Fascia Heel Pain Syndrome
||The plantar fascia is a ligament structure
that supports the longitudinal arch of the foot. It is a tough,
fibrous band of connective tissue that runs from the heel bone to the
ball of the foot.
Plantar Fasciitis is caused by repetitive strain and is the most common
cause of localized heel pain. It is an inflammation of the plantar
fascia and is a clinical diagnosis based on a history and examination
completed by a physician.
Symptoms of Plantar Fascia
- Starts as dull, intermittent pain in heel or arch, progressing to a sharp,
- A sharp, piercing pain and/or inflammation through heel and foot that
usually occurs in the morning or after resting and gradually disappears with
- Tightness in calf muscles
- Symptoms may be spontaneous
Causes of Plantar Fasciitis
- Inflammation and pain result from increased activity or in
association with aging
Inflammation is usually the result of athletic activity and can be
very painful especially in the morning after cramping of feet and
legs during sleep
- Flat feet or high arched, rigid feet
- Poor supporting shoes
- Large weight gain in short period of time
- Other family member with plantar fasciitis
- Running on hills or balls of feet
- Running on uneven surfaces
Treatments for Plantar Fasciitis
- Use the Clinitex HealWell Night Splint to maintain a gentle,
constant stretch across the plantar fascia.
Wear proper shoes. Running or sports shoes with excellent
support, no or minimal heel, and well cushioned soles. Padded
or gel inserts or arch supports may also be used.
- Use heel pads. Felt, gel, viscoelastic, or synthetic heel
pads spread and absorb shock as the heel lands easing pressure on
the plantar fascia.
- Decrease standing and ambulatory activity.
- Get periods of "relative rest" and ice to reduce
inflammation (problem often reoccurs if one rests completely).
- Stretch the heel cord and plantar fascia.
- Perform stretching exercises followed by icing.
- Massage area of pain, especially in morning after worm bath or
- Wear Birkenstock typ sandal instead of bare feet or slippers.
- Tape to maintain arch and release tension off plantar fascia.
- Lose weight.
- Non-steroidal anti-inflammatory medication to reduce pain and
In Extreme cases of plantar fasciitis:
- Cortisone injections
- Physical therapy to decrease pain and inflammation and
strengthen foot muscles to support weakened plantar fascia
- Ultrasound to decrease inflammatory response
- Surgery (extremely rare). An incision over the inner
aspect of the heel of foot with release of involved fascia
from its' attachment to heel bone.