Heel Pain and Plantar Fasciitis
Friday, September 16, 2011 at 8:18PM
Dr. Martin Dziak in Certified Pedorthist, Heel Pain, Plantar, bottom of foot, bottom of heel, fascitis, pain and tenderness
Plantar fascitis is the most common cause of heel pain, affecting 10% of the population, and it accounts for approximately 15% of all foot-related complaints. It is characterized by pain and tenderness on the inside or bottom of the of the heel, in addition to pain along the arch of the foot. The pain, which develops gradually over time, is typically worse in the morning for the first few minutes of weight-bearing, and at the end of the day or after prolonged periods of standing, walking or physical activity.

Research has identified several factors thought to be associated with plantar fasciitis, the chief amongst them being feet that are either very flat or have a high arch, and tightness in the calf muscles. The “itis” in plantar fasciitis an inflammatory process in the fascia, and  conventional methods of treatment that centre around reducing inflammation (non-steroidal and steroidal anti-inflammatories) The first priority is to reduce or remove any of the aforementioned biomechanical faults, which will serve to affect this condition at the root cause. Scientific research also recommends the use of custom prescription orthotics, as well as soft-tissue therapies aimed at releasing tension in the musculature of the posterior leg. For more stubborn cases, there is evidence for the use of night splints, ultrasound and low intensity laser therapy can be helpful.


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