Plantar Fasciitis

The plantar fascia is a strong, thick, band of connective tissue that begins at your heel (the calcaneus bone) and runs all the way to your toes (it connects at the metatarsal bones).

The tension in the plantar fascia is increased in individuals with increased body weight or who have feet with lower than normal arch height.

Plantar fasciitis may also be caused by any shortening or tightness in the calf and hamstrings muscles since increased tension in the Achilles tendon stress the fascia tissues.

Note that the term “fasciosis” or plantar heel pain is more appropriate than “fasciitis”

Plantar fasciitis is temporary swelling of the plantar fascia, while plantar fasciosis is degeneration of the plantar fascia. ... as it has been proved by researchers that there are non-inflammatory changes within the fascia, with evidence of fibre fragmentation in association with myxoid degeneration of the fascia due to mechanical problems.

The aim of the plantar heel pain treatment is to reduce the stress on the collagen tissues of the plantar fascia which includes a combination of ice therapy, collagen injections (much better than corticosteroid injection as it has been reported as a possible complication (rupture of plantar fascia) following cortico- steroid injection, so we should avoid corticosteroids). Ice twice or three times a day, 15 minutes per session, placing the heel directly onto either a plastic zip bag filled with ice, reusable cold pack or a bag of frozen peas.

To reduce the mechanical tension in the plantar fascia, we advised the patient to stretch the calf and hamstrings muscles, starting on a twice or three times daily. Another useful way to have the plantar fascia pain relieved is by using a small bottle of frozen water for 10 minutes a day.

At Randell´s footcare we also use over-the counter orthotics, such as SIDAS, Langer orthotics and we design and adapt casting foot orthosis. Casting-made foot orthosis are suggested for people who are unsuccessful or only partially successful at having their plantar heel discomfort relieved. It is a well-known fact that casting-made foot orthosis are a more permanent and successful way of treatment than OTC standard orthotics.

Most of patients can be made asymptomatic with appropriate treatments.