It is the most commonly occurring cause of heel pain, involving a band of tissue in the foot called the plantar fascia that connects your
heel bone to your toes. It's job - to help support the arch in your foot during your normal walking and running gait. Injury to this
tissue can occur for a wide variety of reasons but usually affects the area just in front of the heel bone. And the pain can be the most
sore in the morning, after rest or when pressed directly. During the early stages, plantar fasciitis pain tends to ease off with activity,
but as time goes on the pain may not subside entirely.
There are thought to be a few possible causes of plantar fasciitis. The most widely recognised is by mechanical stress either by abnormal
motion of the heel itself, excessive load/impact or by a traction injury where the plantar fascia is being pulled too much. The second is
due to the development of heel spurs causing fibrosis and calcification and weakness in the plantar fascia and the final possible cause is
by an inflammatory joint disease like arthritis.
Diagnosis of heel complaints can be relatively complex and not everything is plantar fasciitis. A thorough medical history will be taken
alongside a physical exam to rule out other conditions. In more chronic cases there can be more than one problem. In our experience we
often see patients physically trying to reduce stress and relieve pain by walking slightly differently. The knock on effect of this may be
that other tissues (ligaments, tendons and even bone) are increasingly compromised by this compensation effect leading to secondary issues.
If you are suffering with possible plantar fascia pain, why not get in touch. The clinic is open for business as usual, but as of the start of April 2020 we will also be offering online appointments via video call for sports injury related problems if you are struggling to get to the clinic.