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Plantar Fasciitis
Plantar Fasciitis
Definition
Plantar Fasciitis is an inflammation caused by
excessive stretching of the plantar fascia. The plantar fascia is a
broad band of fibrous tissue which runs along the bottom surface of the
foot, attaching at the bottom of the heel bone and extending to the
forefoot. When the plantar fascia is excessively stretched, this can
cause plantar fasciitis, which can also lead to heel pain, arch pain,
and heel spurs.
Cause
Plantar Fasciitis often leads to heel pain, heel
spurs, and/or arch pain. The excessive stretching of the plantar fascia
that leads to the inflammation and discomfort can be caused by the
following:
- Over-pronation (flat feet) which results in the
arch collapsing upon weight bearing
- A foot with an unusually high arch
- A sudden increase in physical activity
- Excessive weight on the foot, usually attributed to
obesity or pregnancy
- Improperly fitting footwear
Over-pronation (flat feet) is the leading cause of
plantar fasciitis. Over-pronation occurs in the walking process, when a
person's arch collapses upon weight bearing, causing the plantar fascia
to be stretched away from the heel bone.
With Plantar Fasciitis, the bottom of your foot
usually hurts near the inside of the foot where the heel and arch meet.
The pain is often acute either first thing in the morning or after a
long rest, because while resting the plantar fascia contracts back to
its original shape. As the day progresses and the plantar fascia
continues to be stretched, the pain often subsides.
Treatment and Prevention
The key for the proper treatment of plantar fasciitis
is determining what is causing the excessive stretching of the plantar
fascia. When the cause is over-pronation (flat feet), an orthotic with
rearfoot posting and longitudinal arch support is an effective device to
reduce the over-pronation and allow the condition to heel.
If you have usually high arches, which can also lead
to plantar fasciitis, cushion the heel, absorb shock and wear proper
footwear that will accommodate and comfort the foot.
Other common treatments include stretching exercises,
plantar fasciitis night splints, wearing shoes that have a cushioned
heel to absorb shock, and elevating the heel with the use of a heel
cradle or heel cup. Heel cradles and heel cups provide extra comfort,
cushion the heel, and reduce the amount of shock and shear forces placed
during everyday activities.
Every time your foot strikes the ground, the plantar
fascia is stretched. You can reduce the strain and stress on the plantar
fascia by following these simple instructions: Avoid running on hard or
uneven ground, lose any excess weight, and wear shoes and orthotics that
support your arch to prevent over-stretching of the plantar fascia.
If problem persists, consult your foot doctor.
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