Plantar fasciitis is a condition causing heel pain. Supporting the arch, the plantar fascia, a thick band of tissue connecting the heel to the ball of the foot, can become inflamed or can tear. You experience pain when you put weight on your foot — particularly when taking your first steps in the morning. The pain can be felt at the heel, or along the arch and the ball of the foot.
Plantar fasciitis is a common foot condition. It occurs in as many as 2 million Americans per year and 10% of the population over their lifetimes.
Factors that contribute to the development of plantar fasciitis include:
- Age (over 40 years)
- A job, sport, or hobby that involves prolonged standing or other weight-bearing activity
- Rapid increases in length or levels of activity, such as beginning a new running program or changing to a job that requires a lot more standing or walking than you are accustomed to
- Decreased calf muscle flexibility
- Increased body weight (Body Mass Index greater than 30)
- Tendency to have a flat foot (pronation
Plantar fasciitis affects people of all ages, both athletes and non-athletes. Men and women have an equal chance of developing the
When you are diagnosed with plantar fasciitis, your physical therapist will work with you to develop a program to decrease your symptoms that may include:
- Stretching exercises to improve the flexibility of your ankle and the plantar fascia
- Use of a night splint to maintain correct ankle and toe positions
- Selection of supportive footwear and/or shoe inserts that minimize foot pronation and reduce stress to the plantar fascia
- Application of ice to decrease pain and inflammation
- Iontophoresis (a gentle way to deliver medication through the skin)
- Taping of the foot to provide short-term relief
Research shows that most cases of plantar fasciitis improve over time with these conservative treatments, although surgery is infrequently required.