Your Global Health Resource
What is Plantar Fasciitis?
Plantar fasciitis is a painful condition that affects the sole of the foot, specifically the plantar fascia, a thick tissue that connects the heel to the toes and supports the arch of the foot. It is the inflammation of the plantar fascia due to overuse, tension, or stress on the foot. This can cause pain in the heel or the bottom of the foot, especially when getting out of bed, walking, or standing for prolonged periods.
Who is at Greater Risk of Plantar Fasciitis?
People at higher risk of developing plantar fasciitis are those with abnormal foot biomechanics (such as flat feet or high arches), those who are overweight or obese, those with a job that requires standing for long periods, and those who wear shoes with poor support or have poor running or walking technique.
Symptoms of Plantar Fasciitis:
Common symptoms include sharp pain in the heel or arch of the foot,
especially when taking the first steps in the morning or after sitting for a
while. The pain can also worsen after standing for prolonged periods.
Differential diagnosis:
-Calcaneal spur
-Arthritis
-Stress fracture
Diagnosis of Plantar Fasciitis:
Diagnosis is usually based on medical history and a physical exam. In some cases, imaging tests such as X-rays or magnetic resonance imaging (MRI) may be done to rule out other causes of foot pain.
Treatment of Plantar Fasciitis:
Initial treatment typically includes rest, icing, stretching of the plantar fascia with home exercises, elastic bandages, and wearing supportive footwear. Orthoses or shoe inserts may also be used. In more severe cases, anti-inflammatory medications may be prescribed, steroid injections into the fascia, or physical therapy may be considered.
Prognosis of Plantar Fasciitis:
Most people with plantar fasciitis improve with conservative treatment in a
few months. However, in some cases, it can become a chronic condition requiring ongoing treatment. Prognosis depends on various factors, including
the management of risk factors and response to treatment.
Raul Ayala MD
@MyDoctorOnCall.com
