Plantar Fasciitis – Causes and Cures

Plantar Fasciitis – Causes and Cures

On a scale of one to ten, Plantar Fasciitis is probably a solid nine when it comes to persistent, niggling injuries that your patient can pick up.

That nagging pain in the sole of the foot can go from being an annoying inconvenience to an injury that could take your patient out for months if you're not careful.

So how do you injure your Plantar Fascia, and what can you do to treat it if you are unlucky enough to pick up an injury?

What is your Plantar Fascia?
Your Plantar Fascia is a ligament in your foot that runs from your heel to your toes. It supports the arch of your foot and acts as a shock absorber.

What is Plantar Fasciitis?
Plantar Fasciitis is where you have pain on the bottom of your foot, specifically around the heel and arch.


It is usually caused by repetitive strain on the Plantar Fascia ligament due to excessive exercise, particularly running or walking.
This strain causes inflammation of the ligament, which is the root cause of the pain.
Poor quality shoes or trainers can also contribute to Plantar Fasciitis, as can exercise which involves repeated jumping and landing.

What are the warning signs?
Anyone who does a lot of exercise has niggles now and then, but when pain is persistent and lasts longer than a few weeks, it is time to take notice and do something about it.

Pain goes away during exercise (at least at first!)
Plantar Fasciitis is strange in that the pain often recedes during exercise. This can give you a false sense of security and make you think it is getting better, when in fact, exercising on the injury will only make it worse.

Pain is worse after resting
Instead of experiencing pain purely during exercise, if you have Plantar Fasciitis, the pain will worsen after resting or sleeping. If it is painful in the morning and gets progressively worse during the day, then that is a sure sign that the injury is getting worse, and it is time to seek treatment.

Pain elsewhere
If you don't rest your foot enough at the onset of symptoms, you will begin to notice additional complaints.
Pain associated with Plantar Fasciitis is usually concentrated around the heel. However, if it starts to radiate out to the arch of your foot, you know that it is getting worse and that it is time to treat it properly.
If you are struggling to walk normally due to pain in your feet, your gait is likely to be thrown off-kilter. This can cause you to put pressure on your knees, which will result in your knee hurting by the end of the day.

Pain in your feet and the resulting knee pain will eventually affect your lower back and hips due to adopting an unnatural gait. Getting treatment before you reach this stage is essential as the consequences of untreated Plantar Fasciitis can seriously affect your quality of life.

What is the most effective treatment?

There are several ways you can minimise the initial pain of Plantar Fasciitis and reduce the risk of it getting worse. These include;

  • When the pain is acute you should be resting your foot whenever possible, preferably in a raised position.
  • Ice the affected area for 20 minutes at a time every 2-3 hours (also in the acute phase).
  • Wear flat, comfortable shoes and avoid high heels or tight-fitting shoes.
  • Do regular gentle stretches and focus on doing exercise that doesn't put pressure on your feet. Swimming is ideal.
  • Useful exercises include;

Calf Raises: standing double leg with legs straight, double leg with knees bent; then the same but single leg, holding the back of a chair for support

Lie on front, lift left leg straight for one min, then same with right, then repeat with knee bent.

Rolling a ball or ice ball under the sole of the affected foot.

After a week or so of rest, when your pain is not as acute, you should be able to try some short doses of gentle walking.

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