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Plantar Fasciitis
Condition Explained
Plantar fasciitis causes pain and inflammation of a thick band of tissue, called the plantar fascia, that runs across the bottom of your foot and connects your heel bone to your toes. Plantar fasciitis is one of the most common causes of heel pain.
Plantar fasciitis commonly causes stabbing pain that usually occurs with your very first steps in the morning. Once your foot limbers up, the pain of plantar fasciitis normally decreases, but it may return after long periods of standing or after getting up from a seated position.
What causes it?
Over-pronation (excessive rolling inward of the foot) results in a constant tugging of the aforementioned attachment site. Inflammation then results from this constant aggravation to the local tissues. When the patient is not weight bearing, scar tissue begins to repair at the site of injury. When the patient resumes weight bearing, the scar tissue is torn resulting in acute pain. This explains why patients with this disorder typically experience the most pain when they get out of bed, or stand after a period of sitting.
Treatment?
Firstly, one must control the acute phase with ice or other modalities that aid in the reduction of the inflammation. Next, the biomechanical fault (over-pronation) needs to be corrected to take the chronic strain off the fascia. This may be accomplished with a properly designed custom orthotic.
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