• Home
• Our Services
• Our Team
• Our Credentials
• Success Stories
• FAQ
• Financial Policy
• New Patient Forms
• Free Community Workshops
• Ask Dr. John
• Contact Us

 

Ankle/Foot Rehabilition: Plantar fascitis

Plantar fascitis means literally inflammation of the muscle casing in the sole of the foot, the fascia. The fascia is located on the bottom of the foot, and when inflamed, can be very painful. If treated early, it can be healed. Plantar fascitis is difficult to remedy once it becomes a chronic condition. Ill-fitting shoes, work demands, running habits and foot mechanics can all cause plantar fascitis.

Symptoms

The sole of the foot hurts, often the pain occurs near the front of the heel. Because the muscle tightens at night, pain is usually the worst at first rising in the morning. The pain often is aggravated by standing, walking and especially running. Typically, the presence or absence of a "heel spur" is not significant. Between 30 and 40 percent of the general population has a "heel spur" (on x-ray) and yet, there is no pain.

Treatment

Depending on the severity of the condition, your doctor and physical therapist will determine what the best treatment is for you. Generally, for mild, non-chronic cases home therapies can be effective. The goals of the following treatment approaches are to decrease swelling, increase flexibility and promote healing of the fascia.

• Tape and pad foot
• In-shoe orthotic device
• A series of three cortisone shots into the heel area
• Anti-inflammatory medicine (by mouth, for two to three weeks.)
• A change in shoe gear
• Physical therapy (to include ice and stretching)
• Night splint and/or a walking cast for three to six weeks
• Surgery (rarely necessary)