The plantar fascia is a thick fibrous band of connective tissue originating on the bottom surface of the calcaneus and extending along the sole of the foot towards the five toes. Due to causes such as over-pronation, jobs that require you to spend a lot of time on your feet, obesity, rapid weight gain and walking on hard surfaces, people may develop what is known as Plantar fasciitis. Plantar fasciitis is traditionally thought to be an inflammatory condition. This is now believed to be incorrect due to the absence of inflammatory cells within the fascia. The cause of pain and dysfunction is now thought to be degeneration of the collagen fibres close to the attachment to the calcaneus.
Plantar Fasciitis is presented by a sharp stabbing pain at the bottom or front of the heel bone. In most cases, heel pain is more severe following periods of inactivity when getting up and then subsides, turning into a dull ache. In some cases the pain may arise in the Medial Longitudinal Arch due to excessive pronation.
Facts about Plantar Fasciitis:
- Heel pain, under the heel and usually on the inside, at the origin of the attachment of the fascia.
- Pain is usually worse first thing in the morning as the fascia tightens up overnight. After a few minutes it eases as the foot gets warmed up.
- As the condition becomes more severe the pain can get worse throughout the day if activity continues.
- Stretching the plantar fascia may be painful.
- Sometimes there may also be pain along the outside border of the heel. This may occur due to offloading of the painful side of the heel by walking on the outside border of the foot. It may also be associated with the high impact of landing on the outside of the heel if you have high arched feet.
What do i do if i have Plantar Fasciitis?
There are a couple of options, but the best and perhaps the easiest way is to look at an orthotic device that has sufficient amount of support and correction.
At Hinterland Physio, we have a computerised Gaitscan device that can assess for any biomechanical abnormalities in your foot.
For your FREE Gaitscan (normally valued at $75), please mentioned this newsletter when you book your Gaitscan appointment.
To book your spot call 4972 5155, or email us firstname.lastname@example.org or drop into the clinic and register in person.