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Plantar Fascia Tear
The symptoms of plantar fasciitis include heel or foot pain which is classically much worse upon first rising in the morning and improves with warming up in activity but may return again after long periods of standing. The pain is most often centered in the bottom of the heel of the foot but may occur in the arches or pad as well. The pain if often made worse by dorsiflexion or pushing back of the toes. Plantar fasciitis tears are small tears in the plantar ligamen
When Xraying people with plantar fasciiatis heel spurs are often found. It is felt these spurs may cause small tears from the motion of the ligament across the sharp points. However, many people have heel spurs on xray who experience no pain at all.
The plantar fascia is a ligament which provides support to the longitudinal arch of the foot and provides some of the shock absorption the arch of the foot provides the body. It is composed of a long fibrous band of tissue that runs from your heel to your toes. Plantar fasciitis occurs when this ligament sustains micro tears and becomes inflamed. Plantar fasciitis is a common cause of heel and other foot pain.
Plantar fasciitis happens often in athletes and those who stand for long periods of time at their job such as waitresses and factory workers, and people with high arches or those who are flat footed. It is more common in women than men and is more likely to occur after age forty. Obesity and shoes with poor support or high heels can contribute to the development of plantar fasciitis. A shoe I have found very helpful for plantar fasciitis pain is the z coil.
Plantar fasciitis treatment may include non-steroidal anti inflammatory such as Advil, or Naproxen, rest, ice and heat modalities, or orthotic devices for shoes to provide arch support. Your doctor may inject your foot with corticosteroids or prescribe a corticosteroid cream which may provide relief. Exercises to stretch the plantar fascia and strengthen the lower leg muscles may be suggested. Night splints which hold your foot at a 90 degree angle may be suggested to keep the plantar facia lengthened at night allow for greater stretching and decrease morning pain. Switching from high impact exercise such as running to a lower impact alternative such as swimming may be advised at least short term. Losing weight if you are obese will help.
Orthotic inserts or shoes such as z coils have helped many people. I was able to tolerate 12 hour shifts without discomfort using z coils. Only the most extreem cases are treated with surgery as the outcome is not always good longterm.
Conservative treatment such as medication, rest and orthotic shoes will treat most cases of plantar fasciitis. You should always consult your doctor with medical questions. This article is meant to be educational and is not medical advice.
X-ray Free Electron Laser Project XFEL/SPring-8: Computer graphics image of the completed XFEL
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