Plantar Fasciitis/Heel Spur
Plantar Fasciitis – This is commonly caused by strain being placed on the Fascia, which runs between the toes and the heel. This can cause a bony growth at the heel known as a Heel Spur.
Picture of the plantar fascia
• Plantar Fasciitis usually develops gradually, but it can come on suddenly and be severe.
• Sharp pain originating from the bottom and/or inside margin of the heel.
• Pain experienced when rising from bed in the morning.
• Pain in the arch/heel when standing following prolonged sitting.
• Heel pain after, but not usually during exercise.
Increased pronation (foot rolls inwards) lowers the arch structure, elongates the foot and places a tractional force on the plantar fascia. Over time these tractional forces result in inflammation of the fascia and surrounding tissues, causing pain in the arch and heel. This may lead to the development of a heel spur.
• Orthotic Therapy to stop Plantar Fascia from being stretched.
• Foot mobilisation to realign the bones in the heel to reduce the stretch on the Plantar Fascia.
• Calf stretches.
• Massage arch with a frozen water bottle.
• Pain relief with anti-inflammatories (short term treatment).
• In extreme cases cortisone injections to reduce inflammation.