The term plantar fasciitis describes an injury in which the ligament which runs from your heel to the ball of your foot becomes damaged, inflamed and painful. This condition is commonly caused by abnormal stress along your plantar fascia at its attachment to the heel bone. Abnormal stress is often caused by your foot excessively rolling in at the ankle, a condition known as pronation. Stress can also result from a bruise or injury incurred whilst exercising, wearing poor quality shoes or being overweight, all of which can overload your plantar fascia.
Plantar fasciitis causes a number of symptoms that include:
We usually diagnose plantar fasciitis by asking you about your symptoms and physically examining your foot. At the footinjuryclinic we have state of the art video gait analysis and pressure fluoroscopes which we use in aiding our diagnosis. We may order an imaging study, such as an X-ray, if we suspect that your symptoms may be caused by another condition, such as a stress fracture, but this is rare.
There are a number of factors that can increase the likelihood that you will develop plantar fasciitis including:
There are a number of things you can do to protect your feet and prevent injury to your plantar fascia:
It may take 3 to 12 months for your plantar fascia to heal completely. We recommend using a number of treatment approaches simultaneously, home and medical. It is important that you continue treatment until you have been pain-free for at least 3 months.
We may recommend a cortisone injection to reduce inflammation and accompanying pain. Cortisone is a steroid that mimics natural hormones that reduce inflammation.