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Plantar Fasciitis Treatment Singapore


What is Plantar Fasciitis (Heel Pain)?

Regardless of their lifestyle, it is not uncommon today for an individual to develop a repetitive stress injury in various parts of the body. These can be induced by recreational physical activities such as playing sports or caused by work-related conditions where a similar action is performed repeatedly, resulting in the overuse of a particular part of the body.

Plantar Fasciitis is a common 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.

 

Signs and Symptoms of plantar fasciitis include:

  • Pain in the heel, usually on the inside of the foot.
  • Pain is usually worse in the morning when getting out of bed or when standing after sitting for long periods of time.
  • Pain when pressing the heel area of the foot.
  • Swelling may be present.

Risk Factors

Some of the factors that lead to a greater chance of developing plantar fasciitis are –

  • Being overweight or have gained a large amount of weight suddenly
  • Have a job that requires you to be on your feet for long periods of time
  • Have structural foot conditions such as a high arch, or flat foot
  • Discrepancy in leg length
  • Sudden increase in the level of physical activity, particularly of the lower limbs
  • Long distance runners

Treatment Options

The most basic remedy that you can try at home is the R.I.C.E treatment. Rest the injury by cutting back on daily activities. Ice the injury using an ice pack for 15 minutes several times a day. Ice calms down the damaged tissue and slows down blood flow to an injury, reducing swelling, inflammation and controlling the pain. Compression can be performed using an elastic wrap or bandage. Lastly, Elevate the affected limb to reduce the swelling. If you continue to experience pain, you should consult a healthcare professional such as a podiatrist or doctor.

 

Our podiatrists are able to offer treatments such as arch taping, extracorporeal shockwave therapy, pulsed electromagnetic field therapy, phonophoresis, physical exercises or custom orthotics. By combining these treatment modalities, the podiatrist is able to address your individual condition and treat your pain while providing a long-term solution to the underlying cause of your condition.

 

One common treatment for plantar fasciitis is the injection of steroids into the affected area. This helps to reduce inflammation, thereby reducing the pain. While this method can be extremely affective at reducing the pain, it does not address the underlying causes of the initial inflammation. Given time, the analgesic effects of the injection will wear off and your pain will return. Moreover, as the underlying conditions have not been addressed, the damage to the underlying structures of your lower limbs will continue to worsen, resulting in the need for more complex and painful treatment in the future.

 

In the most severe cases, surgery by an orthopaedic surgeon may be considered. In addition to the usual general risks of surgery, this particular surgery may also affect the long-term strength and function of the arch.

 

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