Fasciitis: Inflammation of the fascia (a lining tissue under the skin that covers a surface of underlying tissues). Plantar fasciitis is usually described as a painful inflammatory injury, generally at the origin of the plantar fascia on the calcaneus (heel bone), although it could be central in the plantar arch, or, even distal, under your toes (which is rare).
Plantar fasciitis is an overuse injury caused by excessive stress to the foot or biomechanical abnormalities of the foot (for example, pronation). If there is a predisposing factor, the repetitive traction placed on the plantar fascia during walking or running may lead to micro-tears and, therefore, injury.
An interesting fact is that a normal plantar fascia has a dorso-plantar thick­ness of 3 mm; in plantar fasciitis this can be 15 mm (degeneration causes thickness). Pain and stiffness are worse when taking the first steps after getting out of bed or prolonged sitting, this  being the most typical finding when you have plantar fasciitis.
Plantar fasciitis is usually unilateral, but it sometimes presents in both feet, this being common in rheumatic conditions.
Notice that if you have nocturnal pain the cause might be something other than plantar fasciitis.
In most cases, plantar fasciitis is caused by an either extended or increased load of the plantar fascia. As with every disease, the plantar fasciitis has certain clinical signs that characterize its difficult presentation. Plantar fasciitis is a diagnosis primarily based on careful history taking and clinical examination.


In the majority of cases plantar fasciitis will subside even without any type of treatment since it belongs to the so called self-limiting diseases.
A useful supplement in the treatment of plantar fasciitis are the cushion orthotics, such as the silicon heel pads which are used widely. Another promissing alternative  treatment of plantar fasciitis, especially in recalcitant cases, is the use of the so called “shock waves”,  or Extacorporeal Shock Wave Therapy (ESWT). In conclusion, the fast –simple -quick and effective treatment of plantar fasciitis is yet  to be found. As with the term Achilles tendinitis, this definition of plantar fasciitis is thought to be erroneous.
Another is that it is estimated that 10% of people will develop plantar fasciitis during their lifetime. The common pathway for the development of plantar fasciitis seems to be a repetitive microtrauma of the plantar fascia which initiates a inflammatory response in the region.
This has caused considerable relevant confusion to patients and doctors alike, as many identify the heel spur as being synonymous to plantar fasciitis and vice versa.
In the majority of cases, plantar heel pain is the clinical presentation of a disease which is called plantar fasciitis.
It would be reasonable to consider the heel spur as the causing factor of plantar fasciitis, as the plantar pain is very often located in the region were the heel spear is found.


However, I will call it plantar fasciitis from now on, as it is the most common name for most people. This is the reason why as a rule, plantar fasciitis needs treatment with a variety of modalities. Stretching is also useful in limiting the number and severity of reccurring episodes of plantar fasciitis. A wide variety of other substanses has also been injected locally in patients with plantar fasciitis in an effort to offer pain relief and expedite the healing process. The following article is an attempt to discuss in simple terms the anatomy of the plantar fascia, clarify what a heel spur is, and describe the usual presentation of plantar fasciitis and its treatment. In these patients it is hard to identify a specific contributing factor witch elicited the plantar fasciitis. Despite a number of entusiastic reports from the advocates of each method, none of these has as yet managed to accumulate strong evidence for its effectiveness in the treatment of plantar fasciitis.



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Comments to «Fasciitis definition»

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