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Plantar Fasciitis Tips

Plantar Fasciitis

Dr. Punnam Gupta 88% (174 ratings)
BPTh/BPT; certificate in sports medicine, PGCR, Diploma in Sports Medicine
Physiotherapist, Delhi
8 people found this helpful

What is Plantar Fasciitis And its Causes?

Senior Registrar/ Research Associate, MS - Orthopaedics, MBBS, MCh. Orthopedics
Orthopedist, Ghaziabad

Plantar Fasciitis is a disorder that results in pain in the heel and bottom of the foot. The pain is usually most severe with the first steps of the day or following a period of rest. The condition typically comes on slowly. In about a third of people both legs are affected. 

Risk factors for plantar fasciitis include overuse such as from long periods of standing, an increase in exercise, and obesity. It is also associated with inward rolling of the foot and a lifestyle that involves little exercise. While heel spurs are frequently found it is unclear if they have a role in causing the condition. Plantar fasciitis is a disorder of the insertion site of the ligament on the bone characterized by micro tears, breakdown of collagen, and scarring. The diagnosis is typically based on signs and symptoms with ultrasound sometimes used to help. Other conditions with similar symptoms include osteoarthritis, ankylosing spondylitis, heel pad syndrome, and reactive arthritis.

4 people found this helpful

Planter Fasciitis And Heel Spur

Dr. Mukesh Vyas 91% (600 ratings)
BPTh/BPT
Physiotherapist, Pune

Plantar fasciitis is an orthopedic problem that gives rise to pain in the foot and heel due to strain or pressure on the plantar fascia. This is a ligament or connective tissue which lies in a flat band, connecting your heel with the toes and effectively, providing a basis for the motion of the feet in general. Inflammation, swelling and bruising of this tissue or ligament can lead to excessive pain in the heel.

Let us look at ways that can help you deal with this pain:

Rest: taking rest and giving your feet a break from all kinds of strain inducing activities can help in relieving the pain. Also, you can keep your feet elevated to help in reducing the pain in the area.

Supportive footwear: using pads within your shoes with gel built into them, or using specific footwear that help in walking without feeling too much of pain is a good way of dealing with plantar fasciitis. The shoe inserts must be rubber, felt or plastic so that they are soft for your feet. They also give your heel and its arch good support, while orthotics pulls the ligament so that there is less stress on the same. You can also pull on a pair of night flints which will keep the foot and the ligament stretched while you enjoy a good night of sleep.


Exercise: indulging in mild musclestrengthening exercise that also involves stretching and heel hooks can help in alleviating chronic pain that you may be suffering from. Lie flat on your back and take a towel. Lift your leg and hook your foot into it. Now press against the towel and pull down the towel simultaneously. Repeat at least ten times per foot. This will give you flexibility and strength in the area.

Painkillers: use pain killers only when absolutely necessary and with due advice from the doctor or orthopaedic specialist. The use of ibuprofen and other pain relievers can help in numbing the pain inducing nerves in the brain and give you instant relief.

Anti-inflammatory drugs: your doctor may prescribe anti-inflammatory medication that can bring down the swelling for more comfortable functioning when you are on your feet. Naproxen is one such drug that helps in bringing down the inflammation. Also, corticosteroid injections can relieve severe pain.

Surgery: heel spur removal or plantar fascia release are some of the surgical options for chronic and severe cases.

 

What to Know About Plantar Fasciitis

Dr. Murali Krishna 89% (108 ratings)
DNB (Orthopedics), MS - Orthopaedics
Orthopedist, Visakhapatnam
What to Know About Plantar Fasciitis

There are many conditions that can affect the foot. Plantar fasciitis is one of the most common causes of heel pain. The plantar belt is the level band of tissue (tendon) that can give your heel unresolved issue toes. It can form curves on your foot. In the event that you strain your plantar belt, it gets powerless, swollen, and chafed (excited). Mobility also becomes an issue in such cases. At this point, your heel or the base of your foot will hurt when you try to stand or walk.

Plantar fasciitis is commonly found in middle aged people. It also affects elderly individuals who are constantly on their feet. It is known to affect people who are into sports or even those in the defense forces. It can happen in one foot or both feet.

Causes: Rehashed strain can cause the tendon to tear. These can prompt agony and swelling. This will probably happen if the following conditions are met:

  • Your feet roll inward excessively when you walk (too much pronation)
  • You have high curves or level feet
  • You walk, stand, or keep running for drawn out stretches of time, particularly on hard surfaces
  • You are overweight
  • You wear shoes that don't fit well
  • You have tight Achilles tendons or calf muscles

Symptoms: A vast majority of patients with plantar fasciitis experience pain when they begin to move about after getting out of bed or sitting for a while. You may have less stability and experience pain after you take a couple strides. The motion also begins to sting the feet.

Treatment: There are numerous things you can try to improve your foot:

  • Avoid walking or running on hard surfaces.
  • To lessen the pain and swelling, you can try applying ice on your heel. You can also take an over-the-counter pain reliever like Ibuprofen, (for example, Advil or Motrin) or naproxen, (for example, Aleve).
  • Do toe stretching exercises and calf and towel extensions a few times a day, particularly when you wake up in the morning. (To perform towel extensions, you have to pull on both closures of a moved towel that you put under the bundle of your foot.)
  • Get another pair of shoes. Pick shoes with great curve support and a padded sole. Additionally, you can wear heel glasses or shoe embeds (orthotics). Use them in both shoes even if only one foot is affected.
  • Plantar fasciitis is caused by wounds that have happened after some time. With treatment, you will have less agony in a couple of weeks. The recovery period could also range from a couple of months to a year.
3190 people found this helpful

Plantar Fasciitis - What All Should You Know

Dr. Sachin Prakash Rathod 89% (227 ratings)
MBBS, D'Ortho, DNB (Orthopedics), Fellowship in Complex Trauma and Arthroplasty
Orthopedist, Mumbai
Plantar Fasciitis - What All Should You Know

There are many conditions that can affect the foot. Plantar fasciitis is one of the most common causes of heel pain. The plantar belt is the level band of tissue (tendon) that can give your heel unresolved issue toes . It forms the curve of your foot. In the event that you strain your plantar belt, it gets powerless, swollen, and chafed (excited). Mobility also becomes an issue in such cases. At this point, your heel or the base of your foot will hurt when you try to stand or walk.

Plantar fasciitis is commonly found in middle-aged people. It also affects elderly individuals who are constantly on their feet. It is known to affect people who are into sports or even those in the defense forces. It can happen in one foot or both feet.

Causes: Rehashed strain can cause the tendon to tear. These can prompt agony and swelling. This will probably happen if the following conditions are met:

  • Your feet roll inward excessively when you walk (too much pronation)
  • You have high curves or level feet
  • You walk, stand, or keep running for drawn out stretches of time, particularly on hard surfaces
  • You are overweight
  • You wear shoes that don't fit well
  • You have tight Achilles tendons or calf muscles

Symptoms: A vast majority of patients with plantar fasciitis experience pain when they begin to move about after getting out of bed or sitting for a while. You may have less stability and experience pain after you take a couple strides. The motion also begins to sting the feet.

Treatment: There are numerous things you can try to improve your foot:

  • Avoid walking or running on hard surfaces.
  • To lessen the pain and swelling, you can try applying ice on your heel. You can also take an over-the-counter pain reliever like Ibuprofen, (for example, Advil or Motrin) or naproxen, (for example, Aleve).
  • Do toe stretching exercises and calf and towel extensions a few times a day, particularly when you wake up in the morning. (To perform towel extensions, you have to pull on both closures of a moved towel that you put under the bundle of your foot.)
  • Get another pair of shoes. Pick shoes with great curve support and a padded sole. Additionally, you can wear heel glasses or shoe embeds (orthotics). Use them in both shoes even if only one foot is affected.
  • Plantar fasciitis is caused by wounds that have happened after some time. With treatment, you will have less agony in a couple of weeks. The recovery period could also range from a couple of months to a year.

How To Deal With Plantar Fasciitis?

Dr. Madu Sridhar 89% (43 ratings)
MS - Orthopaedics, M.Ch Trauma & Ortho, Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Chennai
How To Deal With Plantar Fasciitis?

Plantar fasciitis is an orthopedic problem that gives rise to pain in the foot and heel due to strain or pressure on the plantar fascia. This is a ligament or connective tissue which lies in a flat band, connecting your heel with the toes and effectively, providing a basis for the motion of the feet in general. Inflammation, swelling and bruising of this tissue or ligament can lead to excessive pain in the heel.

Let us look at ways that can help you deal with this pain:

  1. Rest: Taking rest and giving your feet a break from all kinds of strain inducing activities can help in relieving the pain. Also, you can keep your feet elevated to help in reducing the pain in the area.
  2. Supportive footwear: Using pads within your shoes with gel built into them, or using specific footwear that helps in walking without feeling too much of pain is a good way of dealing with Plantar fasciitis. The shoe inserts must be rubber, felt or plastic so that they are soft for your feet. They also give your heel and its arch good support, while Orthotics pulls the ligament so that there is less stress on the same. You can also pull on a pair of night flints which will keep the foot and the ligament stretched while you enjoy a good night of sleep.
  3. Exercise: Indulging in mild muscle strengthening exercise that also involves stretching and heel hooks can help in alleviating chronic pain that you may be suffering from. Lie flat on your back and take a towel. Lift your leg and hook your foot into it. Now press against the towel and pull down the towel simultaneously. Repeat at least ten times per foot. This will give you flexibility and strength in the area.
  4. Painkillers: Use pain killers only when absolutely necessary and with due advice from the doctor or Orthopaedic specialist. The use of Ibuprofen and other pain relievers can help in numbing the pain inducing nerves in the brain and give you instant relief.
  5. Anti-inflammatory drugs: Your doctor may prescribe anti-inflammatory medication that can bring down the swelling for more comfortable functioning when you are on your feet. Naproxen is one such drug that helps in bringing down the inflammation. Also, corticosteroid injections can relieve severe pain.
  6. Surgery: Heel spur removal or Plantar fascia release are some of the surgical options for chronic and severe cases.

Taking care of your feet is a matter of ensuring that you look into the slightest discomfort and report the same to a doctor. If you wish to discuss about any specific problem, you can consult an Orthopedist.

4584 people found this helpful

Ways To Treat Plantar Fasciitis!

Dr. Shantanu Jain 84% (10 ratings)
MS - Orthopaedics
Orthopedist, Indore
Ways To Treat Plantar Fasciitis!

Plantar fasciitis is the most common cause of pain on the bottom of the heel.

Plantar fasciitis occurs when the strong band of tissue that supports the arch of your foot becomes irritated and inflamed. The plantar fascia is a long, thin ligament that lies directly beneath the skin on the bottom of your foot. It connects the heel to the front of your foot and supports the arch of your foot. The plantar fascia is designed to absorb the high stresses and strains we place on our feet. But, sometimes, too much pressure damages or tears the tissues. The body's natural response to injury is inflammation, which results in the heel pain and stiffness of plantar fasciitis. In most cases, plantar fasciitis develops without a specific, identifiable reason.

There are, however, many factors that can make you more prone to the condition:

  • Tighter calf muscles that make it difficult to flex your foot and bring your toes up toward your shin 
  • Obesity 
  • Very high arch 
  • Repetitive impact activity (running/sports) 
  • New or increased activity

Although many people with plantar fasciitis have heel spurs, spurs are not the cause of plantar fasciitis pain. Because the spur is not the cause of plantar fasciitis, the pain can be treated without removing the spur.

The most common symptoms of plantar fasciitis include:

  • Pain on the bottom of the foot near the heel 
  • Pain with the first few steps after getting out of bed in the morning, or after a long period of rest, such as after a long car ride. The pain subsides after a few minutes of walking 
  • Greater pain after (not during) exercise or activity

Tests

X-rays provide clear images of bones. They are useful in ruling out other causes of heel pain, such as fractures or arthritis. Heel spurs can be seen on an x-ray.

Other imaging tests, such as magnetic resonance imaging (MRI) and ultrasound, are not routinely used to diagnose plantar fasciitis. They are rarely ordered. An MRI scan may be used if the heel pain is not relieved by initial treatment methods.

Treatment

  • More than 90% of patients with plantar fasciitis will improve within 10 months of starting simple treatment methods.
  • Rest. Decreasing or even stopping the activities that make the pain worse is the first step in reducing the pain. You may need to stop athletic activities where your feet pound on hard surfaces (for example, running or step aerobics).
  • Ice. Rolling your foot over a cold water bottle or ice for 20 minutes is effective. This can be done 3 to 4 times a day.
  • Nonsteroidal anti-inflammatory medication. Drugs such as ibuprofen or naproxen reduce pain and inflammation.
  • Exercise. Plantar fasciitis is aggravated by tight muscles in your feet and calves. Stretching your calves and plantar fascia is the most effective way to relieve the pain that comes with this condition.
  • Calf stretch
  • Plantar fascia stretch
  • Cortisone injections
  • Supportive shoes and orthotics
  • Night Splints
  • Physical therapy
  • Extracorporeal shockwave therapy (ESWT)
  • Surgery is considered only after 12 months of aggressive nonsurgical treatment.
499 people found this helpful

6 Ways To Deal With Plantar Fasciitis!

Dr. Sanjay Tapadia 85% (10 ratings)
MBBS, DNB - Orthopedics, Mch Orthopedics
Orthopedist, Hyderabad
6 Ways To Deal With Plantar Fasciitis!

Plantar fasciitis is an orthopedic problem that gives rise to pain in the foot and heel due to strain or pressure on the plantar fascia. This is a ligament or connective tissue which lies in a flat band, connecting your heel with the toes and effectively, providing a basis for the motion of the feet in general. Inflammation, swelling and bruising of this tissue or ligament can lead to excessive pain in the heel.

Let us look at ways that can help you deal with this pain:

  1. Rest: Taking rest and giving your feet a break from all kinds of strain inducing activities can help in relieving the pain. Also, you can keep your feet elevated to help in reducing the pain in the area.
  2. Supportive footwear: Using pads within your shoes with gel built into them, or using specific footwear that help in walking without feeling too much of pain is a good way of dealing with Plantar fasciitis. The shoe inserts must be rubber, felt or plastic so that they are soft for your feet. They also give your heel and its arch good support, while Orthotics pulls the ligament so that there is less stress on the same. You can also pull on a pair of night flints which will keep the foot and the ligament stretched while you enjoy a good night of sleep.
  3. Exercise: Indulging in mild muscle strengthening exercise that also involves stretching and heel hooks can help in alleviating chronic pain that you may be suffering from. Lie flat on your back and take a towel. Lift your leg and hook your foot into it. Now press against the towel and pull down the towel simultaneously. Repeat at least ten times per foot. This will give you flexibility and strength in the area.
  4. Painkillers: Use pain killers only when absolutely necessary and with due advice from the doctor or Orthopaedic specialist. The use of Ibuprofen and other pain relievers can help in numbing the pain inducing nerves in the brain and give you instant relief.
  5. Anti-inflammatory drugs: Your doctor may prescribe anti-inflammatory medication that can bring down the swelling for more comfortable functioning when you are on your feet. Naproxen is one such drug that helps in bringing down the inflammation. Also, corticosteroid injections can relieve severe pain.
  6. Surgery: Heel spur removal or Plantar fascia release are some of the surgical options for chronic and severe cases.
1 person found this helpful

Plantar Fasciitis - Causes, Symptoms And Treatment

Dr. Shekhar Srivastav 83% (12 ratings)
MS - Orthopaedics, MBBS
Orthopedist, Delhi
Plantar Fasciitis - Causes, Symptoms And Treatment

There are many conditions that can affect the foot. Plantar fasciitis is one of the most common causes of heel pain. The plantar belt is the level band of tissue (tendon) that can give your heel unresolved issue toes. It can form curves on your foot. In the event that you strain your plantar belt, it gets powerless, swollen, and chafed (excited). Mobility also becomes an issue in such cases. At this point, your heel or the base of your foot will hurt when you try to stand or walk.

Plantar fasciitis is commonly found in middle aged people. It also affects elderly individuals who are constantly on their feet. It is known to affect people who are into sports or even those in the defense forces. It can happen in one foot or both feet.

Causes: Rehashed strain can cause the tendon to tear. These can prompt agony and swelling. This will probably happen if the following conditions are met:

  • Your feet roll inward excessively when you walk (too much pronation)
  • You have high curves or level feet
  • You walk, stand, or keep running for drawn out stretches of time, particularly on hard surfaces
  • You are overweight
  • You wear shoes that don't fit well
  • You have tight Achilles tendons or calf muscles

Symptoms: A vast majority of patients with plantar fasciitis experience pain when they begin to move about after getting out of bed or sitting for a while. You may have less stability and experience pain after you take a couple strides. The motion also begins to sting the feet.

Treatment: There are numerous things you can try to improve your foot:

  • Avoid walking or running on hard surfaces.
  • To lessen the pain and swelling, you can try applying ice on your heel. You can also take an over-the-counter pain reliever like Ibuprofen, (for example, Advil or Motrin) or naproxen, (for example, Aleve).
  • Do toe stretching exercises and calf and towel extensions a few times a day, particularly when you wake up in the morning. (To perform towel extensions, you have to pull on both closures of a moved towel that you put under the bundle of your foot.)
  • Get another pair of shoes. Pick shoes with great curve support and a padded sole. Additionally, you can wear heel glasses or shoe embeds (orthotics). Use them in both shoes even if only one foot is affected.
  • Plantar fasciitis is caused by wounds that have happened after some time. With treatment, you will have less agony in a couple of weeks. The recovery period could also range from a couple of months to a year.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3999 people found this helpful

5 Ways To Treat Plantar Fasciitis!

Dr. Abhijit Patil 87% (10 ratings)
MS - Orthopaedics, D.Ortho
Orthopedist, Pune
5 Ways To Treat Plantar Fasciitis!

There are many conditions that can affect the foot. Plantar fasciitis is one of the most common causes of heel pain. The plantar belt is the level band of tissue (tendon) that can give your heel unresolved issue toes . It forms the curve of your foot. In the event that you strain your plantar belt, it gets powerless, swollen, and chafed (excited). Mobility also becomes an issue in such cases. At this point, your heel or the base of your foot will hurt when you try to stand or walk.

Plantar fasciitis is commonly found in middle-aged people. It also affects elderly individuals who are constantly on their feet. It is known to affect people who are into sports or even those in the defense forces. It can happen in one foot or both feet.

Causes: Rehashed strain can cause the tendon to tear. These can prompt agony and swelling. This will probably happen if the following conditions are met:

  • Your feet roll inward excessively when you walk (too much pronation)
  • You have high curves or level feet
  • You walk, stand, or keep running for drawn out stretches of time, particularly on hard surfaces
  • You are overweight
  • You wear shoes that don't fit well
  • You have tight Achilles tendons or calf muscles

Symptoms: A vast majority of patients with plantar fasciitis experience pain when they begin to move about after getting out of bed or sitting for a while. You may have less stability and experience pain after you take a couple strides. The motion also begins to sting the feet.

Treatment: There are numerous things you can try to improve your foot:

  • Avoid walking or running on hard surfaces.
  • To lessen the pain and swelling, you can try applying ice on your heel. You can also take an over-the-counter pain reliever like Ibuprofen, (for example, Advil or Motrin) or naproxen, (for example, Aleve).
  • Do toe stretching exercises and calf and towel extensions a few times a day, particularly when you wake up in the morning. (To perform towel extensions, you have to pull on both closures of a moved towel that you put under the bundle of your foot.)
  • Get another pair of shoes. Pick shoes with great curve support and a padded sole. Additionally, you can wear heel glasses or shoe embeds (orthotics). Use them in both shoes even if only one foot is affected.
  • Plantar fasciitis is caused by wounds that have happened after some time. With treatment, you will have less agony in a couple of weeks. The recovery period could also range from a couple of months to a year.
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