Plantar Heel Pain
Plantar Heel pain also known as Plantar Fasciitis is a common foot condition.
Pain is typically located at the point the plantar fascial tendon inserts into the heel bone.
This fascia run down the foot attaching into the toes and helps form our arch.
In the x-ray on the left you can see bony spurring at the point of pain.
While heel spurs are common on x-ray, they are typically not related to the pain. In fact many people have spurs and have no heel pain.
1. Pain on first movement, particularly in the morning or after rest.
2. Pain on touch.
3. The pain can be aggravated by standing.
Research suggests plantar heel pain involves degenerative changes to the collagen of the tendon.
Over load of the tissue. Too much standing, walking or running.
It is associated with being over weight.
It also occurs in long distance runners.
1. Increasing ankle joint range of motion.
2. Footwear changes.
3. Foot strengthening exercises.
4. Foot orthotics may be prescribed.
Positive Podiatry can provide a wide range of customised and custom made foot orthotics. This depends on your individual requirements.
Steroid injection into the fascia should be used with care. The negative side effects of steroid injections can be plantar fascia rupture and breakdown of the fatty pad.
Shock wave therapy is only necessary in chronic cases over 6 months.
Individualised advice is essential for rapid resolution.