Plantar Fasciitis

We walk every day. It’s an action we do without thinking about it. We walk and
stand a lot, and if you’re an athlete, you run a lot. Walking or running puts stress
on your feet which absorbs the shock of your foot hitting the ground you walk or
run on. At first, you may not feel anything, but then you wake up one morning
and you feel heel pain with the first few steps out of bed. Or you could be sitting
down and when you get up and begin to walk your heel and arch hurts. This
could be plantar fasciitis (most common cause of heel and arch pain). The
plantar fascia is made up of thick connective tissues that form the arch of the
foot. It runs from the heel bone forward to the base of the toes. Once the planter
fascia becomes irritated, it becomes inflamed and begins to cause pain. This
pain can stem from walking or running (in old shoes that do not support the feet)
as a means of exercise, being overweight, or standing and walking for long
periods of time. If you have high arches or have flat feet, you can be at risk for
developing plantar fasciitis. You can also develop pain due to having tight calf
muscles, which reduce ankle flexibility, and increase tension to the plantar fascia.
You may not feel the pain during exercise but it is likely that you will begin to feel
it once you have stopped and your foot has relaxed. The main goal to managing
plantar fascia pain is to reduce inflammation, support the plantar fascia, and
stretching. Inflammation can be reduced using non-steroidal anti-inflammatories
and icing. Your Podiatrist may also give you a cortisone injection. Supportive
shoes, taping, and use of custom orthotics can support the plantar fascia and
reduce the stress placed on the fascia due to walking, standing, and running.
Calf and plantar fascia stretching allows for better ankle range of motion and relieves the pain associated with plantar fasciitis. Plantar fasciitis will improve in
more than 90% of patients with conservative treatments. The doctors at
Professional Foot and Ankle Center (Shadi Yadegaran, DPM and Armin
Feradouni, DPM) recommend surgical treatment only if conservative treatments
are unsuccessful for over one year.
Armin Feradouni, DPM Podiatrist in Rancho Palos Verdes, CA

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