Plantar Fasciitis

You get out of the bed in the morning and there it is.  Stabbing, sharp heel pain!  You wish you could just go back to bed.  The pain may ease up as you start walking around and start your day...but as you sit for a period of time...there it is again.

Plantar Fasciitis is a common problem experienced by up to 25% of all adults at some point in time.  That's a lot of people with a lot of pain!

The plantar fascia is the ligament that attaches to the heel bone and runs through the arch to the toes.  The attachment of the fascia to the heel can become inflammed due to a longstanding mechanical imbalance or due to an injury.  Thus, you get heel pain.  In order to correct the situation, both the inflammation and the mechanics need to be addressed.

Signs and Symptoms

Pain upon getting out of bed, pain after long periods of weight bearing (being on your feet in some fashion), pain with exercising.


To immediately start treating the inflammation it's very effective to ice to provide some relief.  Anti-inflammatory medication is also beneficial.  In more extreme cases, the pain can be managed much more quickly with a cortisone injection placed right at the source of the pain.  Please keep in my that these techniques are only to get the pain of the inflammaton under control, the reason why the plantar fasciitis is present in the first place still needs to be corrected.

To correct the biomechanice issues, splints can be used as well as off-the-shelf orthotics until custom made orthotic devices can be made.  A custom orthotic places the foot in a neutral position so the fascia can recover and the pain and inflammation will disappear.

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