Plantar Fasciitis is a painful condition caused by overuse of the plantar fascia or arch tendon of the foot. The Plantar Fascia is a broad, thick band of tissue that runs from under the heel to the front of the foot, which helps to support the arches of our feet.
Whether inactive or athletic, the modern patient suffers from a variety of repetitive stress injuries in the feet and ankles. While heel pain is a common malady we encounter, almost every muscle, tendon, nerve, ligament, and joint in the foot has its own painful condition. We’ve seen them all, and we’ve treated them all.
Our treatment modalities range from tried-and-true conservative methods such as taping and specifically selected insoles, to advanced modalities such as phonophoresis, extracorporeal shockwave therapy, and pulsed electromagnetic field therapy. Everything we offer are based on Western medical research around the world.
The heel bone is the largest of the 26 bones in the human foot, which also has 33 joints and a network of more than 100 tendons, muscles, and ligaments. Heel pain, can occur in the front, back, or bottom of the heel.
Causes of heel pain include:
– Faulty Biomechanics (walking/gait abnormalities)
– Poor footwear
– Activity increase
There are several structures that can cause the the pain, it may be due to plantar fasciitis, heel spur, excessive pronation, achilles tendonitis, tarsal tunnel syndrome, neuroma, cartilage damage or ligament tear etc.
If you are experiencing pain that does not subside with ICE and rest, discomfort when walking or sitting or simply want some advice. The heel is a complex area with many structures surrounding it. It is best to have your foot assessed to find the root cause of the pain.
Therapy may include therapies, strapping, over the counter medication, exercise or in shoe orthotics. Long term it is best to look at offloading the joint if a biomechanical abonormality is found. If further advanced management of a foot condition is needed, the podiatrist would suggest accordingly.
Author: Principal Podiatrist Dr. Michael LAI