By Nick Kolterman
What is Plantar Fasciitis?
The most common cause of heel and arch pain is a condition called plantar fasciitis. This is an inflammation of a thick band of tissue that runs along the arch of your feet from your heel to your toes and aids in stabilization of your arch during walking and running. Symptoms involve two areas – the arch, and more commonly the bottom inside heel area.
Common symptoms of plantar fasciitis include:
- Pain in the morning when you first get out of bed.
- Pain and stiffness when you start to walk after sitting for awhile.
- Increasing pain in your heel or arch by the end of the day.
- Tired feet at the end of the day
What Causes Plantar Fasciitis?
Heel and arch pain is usually the result of faulty biomechanics (walking gait abnormalities) that place too much stress on the heel bone and the soft tissue that attach to it. This increased stress causes local inflammation and pain.
Risk factors for Plantar Fasciitis include:
- Arch Problems (both flat feet and high arches)
- Repetitive Activities (prolonged walking or standing on hard surfaces)
- Shoes that are poorly supportive, don’t fit or are worn out
- The natural process of aging
- In rare cases, a single injury to the footTreatment
Initial Treatment usually consists of:
- Supportive/ Stable shoes
- Stretching Exercises
- OTC arch support or taping
In resistant cases the following may be used:
- Physical Therapy
- Night Splints
- Local Steroid Injections
- CUSTOM ORTHOTICS- Custom foot Orthotics are precision balanced medical devices worn in your shoes to allow the feet and lower extremities to function properly. They are designed to fit your feet and act to restore normal biomechanical function and help with pain.