The Plantar Fasciitis Organization is dedicated to the understanding of Plantar Fasciitis, Heel Spurs, and all other forms of Heel Pain. Welcome to the Plantar Fasciitis organization, your source for information on plantar fasciitis, heel spurs, and other forms of heel pain. Plantar fasciitis causes the inflammation of the plantar fascia ligament which runs along the bottom of the foot.
The most common complaint from plantar fasciitis is a burning, stabbing, or aching pain in the heel of the foot.
In most cases, plantar fasciitis does not require surgery or invasive procedures to stop pain and reverse damage. Among the most popular factors that contribute to plantar fasciitis is wearing incorrect shoes. With so many causes of plantar fasciitis, there are many risk factors that suffers should be aware of.
If pain from plantar fasciitis continues despite conservative treatments, you may need to visit a doctor or podiatrist. Again, prolonging treatment for plantar fasciitis will cause the condition to become worse.
Treatment for plantar fasciitis should begin with rest, icing, and over the counter medications. More invasive procedures to treat plantar fasciitis are usually sought only after other treatment has failed to produce favorable results. As already mentioned, a heel spur is a common condition that results when a bone growth extends from the heel bone (calcaneous) into the sensitive tissue in the heel.
As with other types of heel pain, a heel spur can be treated with conservative treatment methods. Heel Pain — Heel pain is a very common complaint, experienced by millions of Americans each year. But with so much stress being place on our heels every day, not to mention poor habits, such as sedentary lifestyles, its no wonder why two thirds of the population have some type of foot condition.
Heel pain located directly below the heel or along the bottom of the foot is often due to either plantar fasciitis or a heel spur. If heel pain can be felt behind the heel, most likely the discomfort is a sign of Achilles tendonitis. The traditional remedies for plantar fasciitis include stretching the calf, massaging, decreasing one's training, losing weight, purchasing better-fitting shoes (with a raised heel and arch support), icing the sore heel, and taking ibuprofen.
The information provided on Plantar-Fasciitis.org is of a general nature and cannot substitute for the advice of a medical professional such as a doctor.
Plantar fasciitis has typically been very responsive to Deep Low Level laser Therapy (D3LT) using the Laserstim 1500 system. Plantar fasciitis is most often seen in middle-aged men and women, but can be found in all age groups. There are also other less common problems such as nerve entrapments, stress fractures, and fat pad necrosis, all of which can cause foot pain. Plantar fasciitis occurs because of irritation to the thick ligamentous connective tissue that runs from the heel bone to the ball of the foot. When a patient has plantar fasciitis, the connective tissue that forms the arch of the foot becomes inflamed (tendonitis) and degenerative (tendinosis)–these abnormalities cause plantar fasciitis and can make normal activities quite painful.
To prevent the recurrence of plantar fasciitis after treatment, proper fitting footwear is essential. As stated above, simple treatment measures will usually work in the treatment of plantar fasciitis. Surgery should be reserved for patients who have made every effort to fully participate in conservative treatments, but continue to have pain from plantar fasciitis. If you fit these criteria, then surgery may be an option in the treatment of your plantar fasciitis. When your surgeon releases the plantar fascia, it is important to only release about 30-50% of the fascia. As stated earlier in this article, pain around the heel of the foot may not always be due to plantar fasciitis. Symptoms of plantar fasciitis may closely resemble symptoms of other foot problems. New surgical techniques allow surgery to release the plantar fascia to be performed through small incisions using a tiny camera to locate and cut the plantar fascia. Our physicians are trained surgeons skilled in the correction of all foot abnormalities such as bunions, hammertoes, heel pain and neuromas. Our goal is to provide a wealth of information on heel pain conditions and injuries as well as their treatments. This condition occurs when the long fibrous plantar fascia ligament along the bottom of the foot develops tears in the tissue resulting in pain and inflammation. The plantar fascia ligament is made of fibrous bands of tissue and runs between the heel bone and your toes and stretches with every step.
Most sufferers will be able to feel it in the morning because the fascia ligament tightens up during the night while we sleep, causing pain to diminish. Certain types of arthritis can cause inflammation to develop in tendons, resulting in plantar fasciitis. Needless to say, activity in sports and regular exercises can place significant stress on the heel and surrounding tissue. As mentioned above, an orthotic is a device that can be slipped into any pair of shoes and can often relieve pain and help to reverse the damage and occurrence of plantar fasciitis. It extends into the sensitive tissue and nerves, resulting in pain in the foot with every movement.


These pointed growths of bone develop when the plantar fascia is excessively and repetitively pulled away from the heel bone. The most common form of heel pain is derived from plantar fasciitis, the inflammation of the plantar fascia ligament.
If you are experiencing heel pain there may be many conditions that are responsible for the discomfort. Plantar fasciitis, as discussed above, occurs when tears and inflammation develop along the plantar fascia ligament. Achilles tendonitis, like plantar fasciitis, results in tears and inflammation, but occurs in the Achilles tendon which runs vertically from the heel along the ankle. Initial treatment may include rest, applying ice, taking over the counter anti-inflammatory medications, and stretching the area regularly. Plantar fasciitis is diagnosed with the classic symptoms of pain well localized over the heel area of the bottom of the foot.
This treatment, called extracorporeal shock wave therapy, or ESWT, uses energy pulses to induce microtrauma to the tissue of the plantar fascia. It is important that conservative treatments (such as those listed above) be performed for AT LEAST a year before considering surgery. The vast majority of patients diagnosed with plantar fasciitis will recover given ample time. These treatments include anti-inflammatory medication, shoe inserts, and stretching exercises. Release of more of the plantar fascia during surgery may cause a flat foot deformity due to the loss of the arch of the foot.
These nerves, even with protection, may be damaged during surgery to release of the plantar fascia. Whether you are suffering from pain, discomfort or an embarrassing condition, we can help you. Heel pain affects nearly 2 million Americans each year and can be responsible for mild discomfort or even debilitating pain. The pain of plantar fasciitis is usually located close to where the fascia attaches to the calcaneous, also known as the heel bone. However, when we climb out of bed and place pressure on the ligament, it becomes taut and pain is particularly acute. However, every person's body responds to plantar fasciitis treatment differently and recovery times may vary. While walking or exercising in improper shoes, weight distribution becomes impaired, and significantly stress can be added to the plantar fascia ligament.
Taking over the counter medications such as ibuprofen or acetaminophen can help reduce pain and inflammation that may have developed. If the condition is allowed to worsen, more serious or invasive forms of treatment may be required to stop pain.
Another common problem is a change in your gait in order to counteract pain during movement. They do this by adding support to the heel and helping to distribute weight during movement.
One of the most important is maintaining a healthy weight in order to reduce tension on the plantar fascia. Pain is usually more pronounced in the morning and subsides through the day, but can return again later on or with activity. In many cases, a heel spur can develop along with plantar fasciitis, but can also occur by itself. Heel spurs often develop in middle-aged patients, but can also occur in younger people as well.
The stress, therefore, can easily promote the development of calcium where the plantar fascia attaches to the heel bone, causing the formation of a heel spur. A condition that commonly develops along with plantar fasciitis, but can form independently as well, is a spur that forms on the bottom of the heel bone. If you decide to visit a physician, let them know the exact type of heel pain you are experiencing. In addition, a heel spur is a bony growth that extends from the heel bone and causes pain as it digs into sensitive tissue in the heel. About 70% of patients with plantar fasciitis have been noted to have a heel spur that can be seen on X-Ray. Often the pain from plantar fasciitis is most severe when you first stand on your feet in the morning. In these athletes, it is thought that the repetitive nature of the sports causes the damage to the fibrous tissue that forms the arch of the foot.
These syndromes such as Reiter’s syndrome and ankylosing spondylitis can cause heel pain similar to plantar fasciitis. As you begin to loosen the foot, the pain usually subsides, but often returns with prolonged standing or walking. Time is very important in curing the pain of plantar fasciitis, and insufficient treatment before surgery may subject you to potential complications of the procedure. With some basic treatment steps, well over 90% of patients will achieve full recovery from symptoms of plantar fasciitis within one year of the onset of treatment. In cases where a good effort with these treatments fails to provide adequate relief, some more aggressive treatments may be attempted. Flat foot after surgery can lead to chronic problems that may be as bad as the plantar fasciitis.


Because of this, a small percentage of patients may have pain or numbness in areas of the foot following plantar fasciitis surgery. While there are potential complications, about 70-80% of patients will find relief after plantar fascia release surgery. Some surgeons are concerned that the endoscopic plantar fascia release procedure increases the risk of damage to the small nerves of the foot.
Due to the volume of heel pain cases each year, there are many sources for information on heel pain and related treatments available. The condition is often misspelled as: plantar fascitis, plantar fasciatis, planters fasciitis, plantar faciatis, and plantar faciaitis. Pain usually decreases as the tissue warms up, but may easily return again after long periods of standing or weight bearing, physical activity, or after getting up after long periods of lethargy or sitting down. Diabetes is also a factor that can contribute to further heel pain and damage, particularly among the elderly. A visit to a doctor may reveal other conditions affecting the foot as well, such as Achilles tendonitis, heel spurs, or other heel pain conditions. As a result of these involuntary changes in the foot's mechanics, knee, hip, or back pain can also develop.
In addition, extracorporeal shock wave therapy (ESWT) is a treatment where sound waves are sent through the damaged tissue in order to stimulate the damaged tissue and encourage healing. In addition, shoes are very important, and should fit well and provide ample cushioning and support throughout the heel, arch, and ball of the foot so that weight is distributed evenly throughout the foot. Orthotics are among the most common types of heel pain treatments, and they are also highly effective in reducing the pain and discomfort of a heel spur. In addition, many people also suffer from heel spurs, Achilles tendonitis, or other ailments.
Your doctor will be looking for physical signs such as tenderness or swelling in order to determine the specific heel pain ailment. If your symptoms are not typical for plantar fasciitis, or if your symptoms do not resolve with treatment, your doctor will consider these possible diagnoses.
ESWT is recommended in patients who have failed the previously mentioned treatments, and are considering surgical options.
If these treatments fail, your doctor may consider an operation to loosen the plantar fascia, called a plantar fascia release.Because the diagnosis of plantar fasciitis can be confused with tarsal tunnel syndrome (as described earlier), most surgeons advocate performing a tarsal tunnel release (or at least a partial tarsal tunnel release) along with the plantar fascia release.
This may not be perfect, but if plantar fasciitis has been slowing you down for a year or more, it may well be worth these potential risks of surgery. While there is no definitive answer that this endoscopic plantar fascia release is better or worse than a traditional plantar fascia release, most surgeons still prefer the traditional approach. However, not all of these sources, whether they are on the internet or elsewhere, provide the results that heel pain sufferers desire. These devices are worn during the night while you sleep, helping to keep the plantar fascia stretched to promote healing. This method is relatively new in treating plantar fasciitis and your doctor will be able to tell you if it is the right method for you. An x-ray may be ordered in order to determine the presence of a heel spur, or to rule out other possibilities such as a fracture.
However, if treatment is not sought early enough, damage can progress, requiring more serious forms of treatment. These simple exercises will help maintain the flexibility of the foot and prevent the plantar fasciitis pain from returning.
This surgery is about 80% successful in relieving pain in the small group of patients who do not improve with conservative treatments. Plantar-Fasciitis.org is a unique resource in that it provides ample information and unbiased reviews of treatments, while also offering a forum to allow searchers to discuss their problems and experiences. In rare cases surgery may be required to release tension on the plantar fascia, or to remove a portion of a heel spur. Lastly, surgery is the last option for those suffering from chronic or severe plantar fasciitis. Although they may generate only slight discomfort, they can worsen and generate severe pain over time. The most common forms of heel pain are plantar fasciitis and heel spurs and you can find information on those ailments, as well as many others, here at Plantar-Fasciitis.org.
Excessive running, jumping, or other activities can easily place repetitive or excessive stress on the tissue and lead to tears and inflammation, resulting in moderate to severe pain.
Since our heels absorb much of our body's pressure when we walk, being overweight can easily lead to damage and plantar fasciitis. With this conservative treatment alternative, a physical therapist designs a set of exercises that are intended to address your specific needs in order to promote healing. If more conservative methods fail to produce positive, lasting results, surgery may be considered to remove the spur or to release tension on the plantar fascia to stop further damage. However, the hormonal changes in pregnant women can also cause ligaments and other tissue to relax and become more pliable, which could lead to plantar fasciitis if you are not careful.
But ignoring the problem only makes it worse, and it's important to seek help and treatment as soon as possible to prevent further damage. Finally, wearing high heeled show, boots, or other shoes that do not provide proper support around the heel and through the arch can easily lead to plantar fasciitis over time.



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