Plantar fasciitis is the most common cause of pain at the rear of the foot. The plantar fascia is a fibrous tissue that originates on the heel bone and inserts into the toes, aiding in providing stability and support to the arches of the foot.
Plantar fasciitis refers to the breakdown of the tissues of the plantar fascia, typically in the area connecting to the heel. The cells within this tissue become disrupted, altering the direction of pull and weakening the tendon, potentially leading to micro-tearing of the fascia.
What are the Symptoms?
Plantar Fasciitis is marked by a gradual onset of pain at the heel’s base. This pain often intensifies in the morning and gradually diminishes as the day progresses. Activities that exacerbate the pain include standing for prolonged periods, remaining inactive, stretching the foot, and the affected area often becomes tender to touch. Initially, activities such as running or dancing may alleviate the pain but cause discomfort afterward. As the condition worsens, pain might also manifest during physical activities.
How does it happen?
This ailment generally evolves gradually. Immediate heel pain post a traumatic event is not typically categorized as plantar fasciitis. Suboptimal foot biomechanics, like over pronation or supination during walking or running, can stress the tendon. Persistent stress can degrade the tendon, resulting in pain. Common factors leading to plantar fasciitis include walking with unsuitable or non-supportive footwear, running, and dancing. Other potential causes might encompass lower limb muscle rigidity, discrepancies in leg length, or muscle imbalances.
How can Physio help?
Physiotherapists deploy various strategies for foot pain relief. After a comprehensive assessment of the lower limbs, they will determine the need for specific muscle stretches or strengthening. Often, an underlying biomechanical anomaly in the gluteal or calf muscles needs correction. Once an exercise regimen begins, strapping or orthotics might be prescribed to support the painful tissue. Generally, a foot bottom stretching routine will be recommended, and tissue release techniques using a golf or tennis ball could be integrated into the exercise plan.
While most experts concur that physiotherapy and relative rest are optimal for treating plantar fasciitis, some might require alternative treatments like corticosteroid injections or surgery if physiotherapy does not mitigate the symptoms.
Note: None of the information in this article is a substitute for genuine medical advice. Always consult a medical professional for insights related to your specific condition.