Heel Pain - Plantar Faciitis

Heel Pain or Plantar Fasciitis;

A painful inflammatory condition causing chronic heel pain. In some cases it may also result in arch pain.

Symptoms:

The pain usually is felt on the underside of the heel, and is often most intense with your first steps when getting out of bed in the morning. Plantar Fasciitis is presented by a sharp stabbing pain at the bottom or front of the heel bone. In most cases, heel pain is more severe following periods of inactivity (resting or sleeping) when getting up and then subsides, turning into a dull ache.

What causes Plantar Fasciitis?


This common foot complaint is mainly caused by abnormal pronation of the foot.


Contributing factors are age, weight gain, jobs that require a lot of walking or standing on hard surfaces, badly worn shoes with little support, suddenly increasing your activity or, inactivityAs a result of over-pronation with every step you take the plantar fascia (band of tissue under the foot) is being stretched, resulting in inflammation, irritation and pain at the attachment of the fascia into the heel bone. In some cases the pain is felt under the foot, in the arch area.      
 



During rest (e.g. when you're asleep), the plantar fascia tightens and shortens. When body weight is rapidly applied to the foot, the fascia must stretch and quickly lengthen, causing micro-tearing of the tissue. Hence, the pain is more severe with your first steps in the morning or after sitting for a long period.


Treatment is usually a combination of therapies; we find that after an initial assessment we can tailor the treatment to best meet your needs.  Typical treatment can involve:

    • Stretching
    • Orthotics
    • Low Laser Light Therapy (LLLT) see LLLT for further information
    • Ice 
    • Low dye taping
    • Assessment of foot ware (not to be underestimated!)


If these therapies are unsuccessful it may be decided that a steroid injection may be needed. We feel that all options should & need to be explored before this option is taken.

If we feel this is the case, we will ask you to see your GP, we will write detailing the treatment we have provided for you.