Inflammation of the band of tissue known as the plantar fascia, which extends from the heel to the toes, is referred to as plantar fasciitis. Typically, the fascia first becomes irritated, and then inflamed. The result is heel pain. Plantar fasciitis is usually caused by a faulty structure of the foot. People with overly flat feet or high-arched feet are more at risk for developing plantar fasciitis. Symptoms include pain on the bottom of the heel and/or pain in the arch of the foot, pain that intensifies after rising, pain that worsens over a period of months, and swelling on the bottom of the foot. Nonsurgical treatment options include stretching exercises, ice, avoiding going barefoot, shoe modifications, limiting activities, and use of nonsteroidal anti-inflammatory drugs (NSAIDs). Should these first-tier treatment options not produce the desired results, additional treatments options include padding, taping, and strapping; orthotic devices; injection therapy; use of a removable walking cast; use of a night splint; EPAT, laser and physical therapy. A small percentage of patients may require surgical intervention.
“Plantar fasciitis is one of the most common orthopedic complaints and typically presents itself in people between the ages of 40 and 60.”