Verywell / JR Bee
Reading: Plantar Fasciitis: Overview and More
Plantar Fasciitis Symptoms
The most common symptoms of plantar fasciitis are :
- Sharp or dull pain felt at the bottom of the foot directly on or near the heel
- Pain that is most severe in the morning, especially when first standing
- Pain that worsens after prolonged weight bearing
- Pain that is relieved with rest
- Heel swelling and/or stiffness
When a person has plantar fasciitis, the conjunction tissue that forms the arch of the foot becomes inflamed. As the stress placed on the inflamed plantar dashboard continues, microtears develop, which may finally lead to the development of a bony growth called a heel spur.
While it ‘s not rare for people with plantar fasciitis to have a heel spur ( seen on an roentgenogram ), keep in beware that the heel spur is not the source of the pain. In fact, many people with heel spurs have no pain at all.
There are a count of factors believed to increase a person ‘s hazard for developing plantar fasciitis. Some of these factors include :
- Excessive training or exercise, especially long-distance walking or running
- Rapid weight gain
- Prolonged standing
- Recent change in activity
- Tight calf muscles or a tight Achilles tendon
- Improper footwear
- Flat feet
- Very high foot arches
The diagnosis of plantar fasciitis requires a medical history and physical examen. During the medical history, your healthcare supplier will ask you where your trouble is located, and whether it ‘s worse in the dawn and/or with drawn-out stand .
next, your healthcare supplier will look for plantar fascia tenderness. While holding your foot, he will bend your toes toward your shin and then press along your plantar fascia from your heel to forefoot .
blood and image tests are not used to diagnose plantar fasciitis, though they may be helpful for ruling out other electric potential heel pain diagnoses, such as :
The treatment of plantar fasciitis begins with the keep up dim-witted, self-care steps :
Resting your foot is possibly the most important step you can take to ease your plantar fasciitis-related pain. This means avoiding irritating activities, like those that place unnecessary strain on your foot ( for example, running, derail, dancing, or walking barefoot ) .
Applying a cold compress or internal-combustion engine throng to the back of your infantry for 15-minute sessions, respective times a day, can ease pain and swell. Be sure to wrap the ice pack in a thinly towel, so it is not in direct contact with your skin .
You may besides consider using an frost bottle massage, which is a way of applying ice to your foot while simultaneously massaging the plantar dashboard .
gently stretching your plantar fascia, equally good as the muscles around your foot and ankle, can improve foot flexibility and mobility, and promote mend of the annoy fascia.
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Muscle Strengthening Exercises
Since the weak muscles in your foundation and ankle may be contributing to your plantar fasciitis, strengthening these muscles can be beneficial. The classic strengthening exert for plantar fasciitis is called the toe towel snap up, in which you use your toes to grasp and drag a little towel across the floor .
Be certain to check in with your physical therapist or healthcare provider to see which strengthening exercises are right for you .
Kinesiology tape is a compromising, cotton tape that can help support your foot ‘s arch, while hush allowing your animal foot and ankle to move well. Before applying kinesiology record to your foot, be indisputable to speak to your physical therapist or healthcare supplier to ensure you are applying it by rights .
Your healthcare provider may recommend a short course ( two to three weeks ) of a nonsteroid anti-inflammatory drug ( NSAID ) to ease your plantar dashboard pain and ignition. Talk with your healthcare supplier, though, before taking an NSAID, to make certain it is safe and right for you .
If your annoyance persists, your healthcare supplier may inject a steroid ( cortisone ) into the bid area of your foot .
Your physical therapist or healthcare supplier may recommend a cushioned-soled horseshoe with orthotic documentation, like a heel cup or gel-pad cut-in, for your plantar fasciitis. The main purpose of this orthotic support is to support both the arch and heel of your foot to take the imperativeness and strain off of the plantar fascia .
Options for Persistent Pain
If the above measures do not provide adequate foot and heel pain relief, your healthcare provider may consider one of the pursue options :
- Night splint: Although the scientific evidence is limited, a night splint, which gently stretches your plantar fascia overnight by keeping your foot at a 90-degree angle, may be of some benefit.
- Immobilization: Your healthcare provider may recommend complete foot rest by temporarily immobilizing your foot with a cast or cushioned walking boot.
- Extracorporeal shock wave therapy (ESWT) and Botulinim toxin (Botox) injection: ESWT and Botox are two examples of alternative therapies your healthcare provider may recommend for chronic plantar fasciitis.
- Surgery: Rarely, surgery to release part of the plantar fascia from its attachment to the heel bone is used to treat plantar fasciitis.
It ‘s not strange for people to manage their plantar fasciitis effectively, alone to have their symptoms come second when they stop treatment. For this reason, it ‘s important to develop strategies to help prevent a recurrence of symptoms .
These strategies may include the following :
- Losing weight if overweight or obese
- Regularly performing plantar fascia stretching exercises
- Wearing supportive, well-cushioned footwear and avoiding very flat shoes or high heels
- Placing a supportive shoe or sandal (not a slipper) on your foot right after waking up each morning (even if your floor is carpeted)
- Switching to low-impact forms of exercise, like swimming or stationary cycling
A Word From Verywell
No doubt, plantar fasciitis can be a torment and afflictive problem to manage. The top is that there are steps you can take to help alleviate your symptoms and prevent them from returning .
It may be a trial-and-error process and take a short solitaire and continuity on your part, but you can obtain relief .
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