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Plantar Fasciitis

What is Plantar Fasciitis?

Plantar fasciitis is pain that comes from strain on the plantar fascia, which is a band of thick, fibrous tissue that connects the heel to the ball of the foot. It helps form the “arch” of the foot. When it becomes overly stretched it can become irritated, thickened and very painful. It is the most common cause of heel pain.

Conditions - Plantar Fasciitis
Symptoms:

  • Pain in the heel
  • Sharp heel pain when first the first few steps (standing up after sitting or when getting out of bed)
  • Deep aching, soreness or “bone bruise” sensation in the bottom of the heel at the end of the day.
  • A tearing or stretching sensation along the arch of the foot

Causes:

Anything that causes stretch, strain or excessive loading forces on the fascia :

  • Flat feet
  • Excessive pronation (rolling inward of the foot/ankle)
  • Overly flexible shoes
  • Increasing sports activities too quickly
  • Many biomechanical factors

Diagnosis:

We use in office diagnostic ultrasound to provide a definitive diagnosis. Sometimes an MRI can be helpful as well. Typically an X-ray will not show plantar fasciitis but can be used to rule out other causes of heel pain.

Treatments:

  • Taping
  • Appropriate shoes
  • Injections
  • Custom orthotics
  • Medications
  • Braces
  • Stretching
  • Physical Therapy
  • Splints
  • Activity modification
  • Surgery

At Valley Foot and Ankle we offer innovative treatments for plantar fasciitis: