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Plantar Fasciitis / Heel Spur Syndrome

Plantar Fasciitis is the inflammation of the plantar fascia. The plantar fascia is a tight band of tissue on the bottom of the foot which extends from the heel bone to the base of the toes. It acts as a bowstring to prevent collapse of the arch, dissipate shock, provide stability to the joints, and restore spring in your step. Impact, injury, overuse, abnormal foot structure or function put strain on the plantar fascia with resulting pain on weight-bearing at the heel or into the arch. Prolonged repetitive stress can develop heel spurs.

FootGuru's Solution


Footsprings™
help relieve plantar fasciitis

Conservative treatment such as athletic taping, proper shoes, arch support and use of the Footspring™ available from FootGuru are designed to support the foot like adhesive tape and can provide comfort, protection, relief, and prevent recurrence of this disabling condition. Properly applied tape support, is the best immediate care for relief of plantar fasciitis.
 

Causes of Plantar Fasciitis
If sufficient impact, strain or pressure is exerted on the bottom of the foot, the fascia may stretch or develop micro-tears. Although plantar fasciitis seldom comes from one specific injury, five main causes can be identified:

  • A sudden turn or impact that exerts great pressure within the tissues of the bottom of the feet.
     
  • Shoe without adequate support for the arch, especially in people with rigid or high-arched feet.
     
  • Shoes with very stiff soles; flexion is required at toe-off during activities and this increases stress on the plantar fascia.
     
  • Feet that pronate excessively – when the feet flatten and roll inward during walking or running and when added tension is put on the plantar fascia the foot spreads out.
     
  • Increased stress on the plantar fascia from excessive weight gain
     
  • High-impact sports, such as running, aerobics, basketball, or tennis without adequate foot support.

Diagnosis

There is pain with pressure over the plantar fascia at the heel bone. There may be swelling and inflammation. The pain is usually noticeable when getting out of bed in the morning. It gets worse with activity and better with rest.

X-rays may show a bony spur arising from the surface of the heel at the site where the plantar fascia is attached. This is an adaptive response of the body and the surface of the bone may become inflamed.

Note: Heel and arch pains may be caused by other medical conditions and may require additional diagnostic tests.
 

Treatment

Treatment for plantar fasciitis includes rest, biomechanical treatment such as the correct shoes, tape support, Achilles tendon stretching, and physical therapy; medical treatment such as anti-inflammatory drugs, cortisone, acupuncture, and; surgery which includes release of the plantar fascia and removal of the heel spur. A more complete publication written by Dr. Hlavac on conservative care for Plantar Fasciitis is available on this website.

Dr. Ralph Dye, Podiatrist, developed classical taping methods to support the major functional joints of the foot; the sub-talar and mid-tarsal joints (The Low Dye strap) and the ankle joint (High Dye Strap). Low Dye* tape support, properly applied is the best immediate care for relief of plantar fasciitis.

Learn more: Redefining Plantar Fasciitis by Dr. Harry Hlavac.

All content © 2009 by Dr. Harry Hlavac. All rights reserved.