Plantar Fasciitis

A00149F02This condition is responsible for most heel and foot pain among young athletes and people who
stand long periods of time. It involves pain and inflammation of a thick band of tissue, called the
plantar fascia that runs across the bottom of your foot and connects your heel bone to your toes.

Plantar fasciitis commonly causes stabbing pain that usually occurs with your very first steps in
the morning. Once your foot limbers up, the pain of plantar fasciitis normally decreases, but it
may return after long periods of standing or after getting up from a seated position.

Plantar fasciitis is particularly common in runners. In addition, people who are overweight and
those who wear shoes with inadequate support are at risk of plantar fasciitis.

Plantar fasciitis typically causes a stabbing pain in the bottom of your foot near the heel. The
pain is usually worst with the first few steps after awakening, although it can also be triggered by
long periods of standing or getting up from a seated position.

Under normal circumstances, your plantar fascia acts like a shock-absorbing bowstring,
supporting the arch in your foot. If tension on that bowstring becomes too great, it can create
small tears in the fascia. Repetitive stretching and tearing can cause the fascia to become irritated
or inflamed.

Stretching and strengthening exercises or use of specialized devices may provide symptom relief.
These include:

  • A doctor of chiropractic can instruct you in a series of exercises to stretch the plantar fascia and Achilles tendon and to strengthen lower leg muscles, which stabilize your ankle and heel. A chiropractor may also use different techniques such as Active release technique as well as Graston to break down the adhesions in the plantarfascia. Also, applying therapeutic tapping such as Kinesio tapping to support the bottom of your foot is helpful in supporting the fascia.
  • Orthotics. Your doctor may prescribe off-the-shelf heel cups, cushions or custom-fitted archsupports (orthotics) to help distribute pressure to your feet more evenly.

Plantarfasciitis is a condition that can be treated conservatively for most parts, the longer the
patient ignores the symptoms there is higher chance that the condition would turn into a chronic
inflammatory process. Most cases can be treated with the correct treatment plan; the goal of the
treatment should be to avoid surgery or injections.