Plantar fasciitis develops when the wide band of tissue that runs along the bottom of the foot is irritated. This ligament, called the plantar fascia, supports the arch. Repeated strain can create tiny tears where it  connects to the heel bone. The main symptom is sharp pain under the heel. Pain is usually strongest with the first steps after getting out of bed or standing after a long rest. It may ease as the foot begins moving, then return after extended activity. Some patients change the way they walk to avoid pressure on the sore heel.

Several factors can increase strain on the plantar fascia. A sudden increase in running, jumping, or stair climbing can overload the tissue. Excess body weight and pregnancy can also place greater pressure on the feet. Tight calf muscles, high arches, or flat feet may affect how force moves through the heel. Wearing shoes that lack proper support or cushioning can add to the problem. However, plantar fasciitis sometimes develops without a clear cause. Heel pain can also result from a stress fracture or nerve problem, so an accurate diagnosis is important.

A podiatrist can examine the foot, discuss when the pain occurs, and evaluate the patient's walking pattern. X-rays or other imaging tests can help rule out a fracture. Treatment includes activity changes and guidance on safe stretching. A podiatrist may recommend supportive shoes, custom orthotics, or taping to reduce pressure on the plantar fascia. A night splint can hold the foot in a gentle stretch while the patient sleeps. Persistent cases may benefit from other office-based treatments. Surgery is rarely required and is considered only when other care has not brought relief. Early evaluation can reduce pain and help prevent stress on the opposite foot, ankles, or knees. If you have symptoms of plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Peter Siroka, DPM  from Connecticut. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions, please feel free to contact our office located in Stamford, CT . We offer the newest diagnostic and treatment technologies for all your foot care needs.