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Plantar Fasciitis

About Plantar Fasciitis

What is Plantar Fasciitis?

Plantar Fascia is a ligament that runs across the bottom of your foot
• Plantar fasciitis involves inflammation of a thick band of tissue in your sole that connects your heel bone to your toes.
• Plantar fasciitis is NOT due to bone spurs.

Symptoms

• The pain is usually the WORST with the FIRST FEW STEPS after awakening
• Plantar fasciitis typically causes a stabbing pain in the bottom of your foot near the heel
• The pain is usually worse at the initiation of exercise and after exercise, but not during it.

Risk Factors

Infrequent intensive exercises in between the long duration of inactivity place intensive stress on the plantar fascia.
• Certain exercises that place a lot of stress on your heel and attached tissue Eg. long-distance running or aerobic dance.
• People with flat foot or those having a high arch may be at risk
• Long hours walking or standing on hard surfaces
• Obesity

DOCTOR’S TREATMENT

Injection Therapy


• Anti-inflammatory injections such as cortisone can be injected into the inflamed plantar fascia, reducing swelling and stopping pain.
• In more severe plantar fasciitis, the inflamed tendon can be associated with breaks and tears. PRP (platelets rich plasma) injections are utilized to have more directed healing of the injured tendon.
• Nerve blocks injections help in reducing pain, enabling patients to engage early in rehabilitation and therapy.

Medication Therapy
• Anti-inflammatory pain killers are taken orally to reduce swelling and inflammation of the injured plantar fascia.
• Nerve stabilizing medications reduce pain transmission, giving good relief to morning
pain.
• Anti-depressants may be utilized for good muscle relaxation, encouraging better blood
circulation to the injured tendon.

PATIENT’S RESPONSIBILITIES

The cornerstone of plantar fasciitis treatment is physical therapy and rehabilitation. Once
the pain is lessened, the patient needs to engage in weight-bearing exercises.
• Do not wait until the pain is gone before engaging in weight-bearing exercises.
• Active physical therapy of the foot involves jogging, jumping, and dancing.

PHYSIOTHERAPY

  • Passive stretches of the sole/foot are helpful for early plantar fasciitis
  • During physio, the therapist will stretch the strained fascia with aids and orthosis.