The plantar fascia is a broad ligament that supports the medial arch of the foot. It attaches to the calcaneum (heel) and runs along the foot and inserts into the base of the toes. In sports such as running and dancing the plantar fascia can be exposed to repetitive overuse and results in inflammation. Plantar fasciitis (PF) commonly results in pain over the heel or over the in-step of the foot. Pain and stiffness is often worse in the morning and improves with movement.
The cause of plantar fasciitis is often due to poor foot mechanics characterised by excessive foot pronation (rolling in). Calf tightness, lower limb malalignment and irritation of the tibial nerve can contribute to the problem.
Research has shown that obesity, reduced ankle movement and occupations that require prolonged weight bearing are associated risk factors for developing PF.
Treatment consists of correcting faulty foot mechanics with taping or orthotics. Using a heel cup to offload the the plantar fascia can be helpful along with avoidance of aggravating activities. Calf stretching, anti-inflammatories and icing can also help to reduce the acute symptoms. Steroid injections may be used in severe or recalcitrant cases.
All physica staff are experienced in treating PF. We will diagnose your problem and assess your foot mechanics with our GaitScan technology. From here we can prescribe a custom made orthotic to address your biomechanical problem.
