Plantar Fasciitis

Plantar Fasciitis is a common painful condition that is caused when there is overuse or too much stress on the feet.

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Michael

Overview

Plantar Fasciitis, also referred to as heel spur syndrome or heel pain, is a common foot condition that causes pain in the heel or the arch. The plantar fascia, a broad, thick band of tissue supporting the foot arches, extends from under the heel to the front of the foot. It is particularly susceptible to repetitive stress injuries caused by physical activities, including sports or work-related situations involving repetitive action, leading to the overuse of the heel.

Risk Factors

Certain factors increase the likelihood of developing plantar fasciitis, including:

  • Excess weight: Being overweight or experiencing significant weight gain
  • Occupational standing: Having a job that requires prolonged standing
  • Foot structure: Having a foot type that predisposes you to this condition
  • Leg length discrepancy: Disparity in the length of the legs
  • Surge in physical activities: Sudden increase in the level of physical activity
  • Long-distance running
  • High-intensity sports: Sports that incorporate much side-to-side movement such as tennis or basketball

How can Plantar Fasciitis be managed?

For minor cases of plantar fasciitis, home remedies such as R.I.C.E (Rest, Ice, Compression, Elevation) can be performed:

  • Rest by avoiding activities that put stress on the heel and arch of the foot
  • Ice the affected area for 15-20 minutes at a time, several times a day to reduce inflammation and pain
  • Compression can be performed using an elastic wrap or bandage to wrap affected foot, this helps reduce swelling
  • Elevate the affected foot to help reduce swelling

However, if you continue to experience prolonged pain, it is important to consult a healthcare professional such as a podiatrist. Podiatrists will be able to diagnose the underlying cause of your pain and recommend the most suitable approach for your condition. Non-invasive therapeutic options may include:

  • Extracorporeal shockwave therapy
  • Super Inductive Therapy
  • Arch taping
  • Physical therapy
  • Custom orthotics

A common approach to plantar fasciitis is injecting steroids into the affected area to reduce inflammation and provide temporary pain relief. However, it does not address the root cause of the condition. As a result, the pain may recur with an increased risk of further damage, such as ligament rupture, potentially leading to more complex issues in the future.

In severe cases, surgical intervention may be necessary. However, surgery carries risks, and can impact the long-term strength and function of the foot arch.

Therefore, early diagnosis is crucial in order to receive the appropriate management using advanced technologies. Timely intervention can prevent the progression of plantar fasciitis to a severe stage and reduce the risk of complications.

What happens if Plantar Fasciitis is left unaddressed?

If Plantar Fasciitis is ignored for more than 6-8 weeks, it may develop into a chronic condition known as plantar fasciopathy.

How do patients develop plantar fasciopathy?

  • Unaware about an existing condition of plantar fasciitis
  • Assumption that the pain would naturally resolve on its own
  • Failure to address plantar fasciitis promptly
  • Attempts to resolve it with ineffective methods

Traditional anti-inflammatory drugs will lose effectiveness, and symptoms will persist unless alternative approached are employed.

A targeted care strategy is required at this stage to repair the damage, preventing further degeneration and rupture of the plantar fascia. Depending on the patient’s age, activity level, and goals, the condition may require stabilising devices or surgical intervention.

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Common Symptoms

Pain in the underside of the heel
Pain when applying pressure around the heel
Sharp pain in the morning
Swelling
Burning and tingling sensations

How It Looks Like

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Related Conditions

FAQs

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Had shockwave & customised insole for my plantar fasciitis with Michael & Georgina, the result was great especially I had a broken knee that worsen my plantar fasciitis. The whole experience was extremely pleasant. Will recommend people if in the event they have same conditional like me, it can be fixed with the correct people.

Delphine Tan
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Our Podiatry Care Strategy

Targeted Plantar Fasciitis Relief

Plantar fasciitis is characterized by inflammation of the plantar fascia, a thick band of tissue that connects the heel bone to the toes. Podiatrists typically diagnose plantar fasciitis through a combination of patient history, physical examination, and sometimes imaging studies.

Assessment of patient history

Physical examination of the foot and ankle

Imaging studies, to confirm the diagnosis

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Michael Lai
Principal Podiatrist

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