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Plantar fasciitis is a common foot condition where the plantar fascia—a thick tissue running from the heel to the toes—becomes inflamed due to overuse or strain. Diagnosis is usually based on clinical symptoms, physical examination, and diagnostic ultrasound imaging. In some cases, imaging tests like X-rays or MRIs may be used to rule out other conditions.
Signs and Symptoms of Plantar Fasciitis
Plantar fasciitis often presents as sharp, stabbing pain in the heel, particularly noticeable with the first steps in the morning or after periods of sitting or resting. Patients may also experience an aching sensation under the heel and arch following prolonged walking or physical activity. In some cases, the heel may become red or swollen. Additionally, pain while flexing the foot and noticeable limping can occur.
Causes and Risk Factors of Plantar Fasciitis
Age: More common in adults aged 40-60 due to decreased elasticity of the plantar fascia.
Excessive Activity: High-impact activities like running or jumping strain the plantar fascia.
Improper Footwear: Shoes with inadequate support or cushioning increase stress on the plantar fascia.
Prolonged Standing: Extended periods of standing, especially on hard surfaces, aggravate the symptoms.
Foot Mechanics: Abnormal foot structures like flat feet or high arches increase stress on the fascia.
Lifestyle and Occupation: Sedentary lifestyles weaken foot muscles, while jobs requiring prolonged standing or walking intensify strain.
Medical Conditions: Obesity and diabetes can worsen plantar fasciitis by adding stress or affecting blood flow.
Treatment and Management of Plantar Fasciitis
Treatment for plantar fasciitis varies from conservative to advanced options. Initially, conservative measures often include rest, activity modification, ice, anti-inflammatory medications, stretching exercises, and proper footwear. If these methods are not effective, more advanced treatments such as orthotics, physical therapy, shockwave therapy, or other interventions may be considered.
At Realign Podiatry, we use advanced shockwave therapy and custom insoles to effectively manage and relieve heel pain. We also provide taping techniques, footwear advice, and rehabilitation exercises for quicker recovery.
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