Understanding Plantar Fasciitis

A Comprehensive Guide to Heel Pain Management

Orthopedics

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Last updated: Mar 24, 2025

What is Plantar Fasciitis?

Plantar fasciitis is an inflammation of the plantar fascia, a thick band of tissue that connects your heel bone to your toes and supports your foot's arch.

Common Symptoms

  • Sharp heel pain, especially with first steps in the morning
  • Pain that worsens after prolonged standing or activity
  • Increased discomfort after (not during) exercise
  • Tenderness on the bottom of the heel

Risk Factors

  • Age: Most common between 40-60 years
  • Activity Level:
    • Long-distance runners
    • Athletes with repetitive impact activities
    • People who stand for long periods
  • Physical Factors:
    • Obesity or sudden weight gain
    • High arches or flat feet
    • Tight Achilles tendons

Diagnosis

Diagnosis typically involves:

  • Physical examination
  • Medical history review
  • Evaluation of pain patterns
  • Sometimes imaging (X-rays or MRI) to rule out other conditions

Treatment Options

Conservative Treatments

  • Rest and activity modification
  • Ice therapy
  • Stretching exercises
  • Supportive footwear
  • Night splints
  • Over-the-counter pain medications

Professional Interventions

  • Physical therapy
  • Custom orthotics
  • Corticosteroid injections
  • Extracorporeal shock wave therapy

Prevention Strategies

  1. Maintain healthy weight
  2. Wear properly fitting shoes
  3. Regular stretching
  4. Gradual increase in exercise intensity
  5. Replace worn athletic shoes

When to Seek Medical Care

Consult a healthcare provider if:

  • Pain persists beyond several weeks
  • Pain severely impacts daily activities
  • You develop fever or swelling
  • You have diabetes and heel pain

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