Plantar Fasciitis / Heel Spurs

Plantar Fasciitis/ Heel Spurs

A lot of people think that Heel Spurs cause pain. Dr’s and people alike will send patients off for an x-ray and when they return will diagnose the spur as the cause of pain. This in-fact is not true. A huge percentage of people walking around have heel spurs and manage to life life pain free. The spur itself is caused by calcification of the tendon, and is a pain free pathology. So…………

What is it? A common condition that causes pain under the heel of the foot, caused by inflammation and/or micro tears of the plantar fascia. The plantar fascia is a long band of fibrous tissue on the bottom of the foot that extends from the heel to the bases of the toes.

 

Risk Factors:

  • Flat feet or high arched feet
  • Common in people who stand or walk for long periods for their job
  • Sudden change of lifestyle or exercise involving increases in standing or walking
  • Tight calfs or fascia
  • Excessive weight gain
  • Inappropriate footwear eg. thongs
  • Hard surfaces/bare feet walking

Signs and symptoms:

  • Heel or arch pain
  • First step morning pain/after rest pain

Prevention:

  • Prescription ORTHOTICS
  • Correct footwear
  • Calf and fascia stretches
  • Gradual increases in training or activity

Treatment:

  • Prescription ORTHOTICS
  • Rest/activity modification
  • Ice area (refer to sheet)
  • Calf and fascia stretches/massage (refer to sheet)
  • Anti-inflammatory medication.
  • Appropriate footwear/No barefeet or thongs
  • Strapping
  • Injections (if all else fails)

Plantar Fasciitis can return, it is therefore important to think about trying to prevent this re-occurrence. This once again is done by footwear modification, gradually changes in lifestyle, calf stretches and custom orthotics.

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dress orthotics - Ace Podiatry, Gold Coast