Plantar Fasciitis is a painful condition affecting the plantar surface (underside) of the heel where the plantar fascia attaches to the medial tubercle of the calcaneus (heel bone). It is associated with a structural breakdown or degeneration of the plantar fascia and the most common symptom is pain first steps out of bed in the morning.
The most common causes of plantar fasciitis are from overuse repetitive activities such as exercise walking, running and being in an occupation where you are on your feet for most or all of the day. Other factors include excessive pronation (flattening of the feet while walking or running), leading a sedentary lifestyle, putting on body weight, walking around on flat hard surfaces, bare feet walking and wearing the incorrect type of footwear for your activity.
Treatment involves identifying and treating the causes of the problem which usually involves a combination of Physical Therapy and offloading the structures of the foot and ankle. This can be a combination of soft tissue massage, dry needling, exercise and stretch prescription, home treatment guidance, foot taping, flexible orthotics, heel raises and the appropriate footwear.
If pain does not improve along normal guidelines and/or the condition presents as a long standing then other forms of treatment include Shockwave Therapy available at our Bilinga SportsMed Podiatry Clinic and/or a referral to a Sports Dr for medical treatments such as Platelet-Rich-Plasma Injections.