Plantar fasciitis is a disorder that affects the soft tissue on the arch of the foot. It is often seen in people who stand for a living especially on hard surfaces, or in runners/walkers from repetitive strain. Common complaints of plantar fasciitis are a pain in the foot and heel, especially first thing in the morning or after a period of rest. The pain typically comes on gradually over time. Some causes of plantar fasciitis are postural, such as excessive flat feet or high arches or tight Achilles’ tendons. Often plantar fasciitis is seen in people with heel spurs as well, although it is unsure if this is a cause or a coincidental finding.
Plantar fasciitis can be resolved with conservative management including Physical Therapy, orthotics, splinting, anti-inflammatory/pain medication and steroid injections at times.
Physical Therapy can consist of massage and other manual techniques, heat, ice, ultrasound and other modalities, taping techniques as well as stretching and strengthening. Stretching and strengthening are performed at the foot and ankle as well as the hip and knee. Lower extremity stability exercises are also very important. Attention is also given to the evaluation of running and walking mechanics, as well as shoe wear recommendations. With proper treatment, Plantar fasciitis is a very manageable condition.
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