Plantar Fasciitis

Plantar fasciitis is inflammation of the plantar fascia, the fibrous tissue that runs along the arch of the foot to connect the heel bone and ball of the forefoot. It is the most common term used to denote heel pain. Heel spurs are often associated with plantar fasciitis. Plantar fasciitis is a weight-bearing phenomenon and is worse after rest. It is often stated that the first few steps out of bed in the morning are extremely painful but improves after a period of walking. There are several causes, however, they are related to excessive force pulling upon the plantar fascia band. Rest, ice application, orthotics, and stretching are all critical parts of the healing process. People who suffer from plantar fasciitis often come to our office wearing shoes that are too small and/or that are worn out. The foot elongates during ambulation; therefore, we need to allow for 3/8 to 1/2 an inch of empty space at the end of our longest toe in our shoes. This will help the plantar fascia to work properly without being constricted.

Pedorthic applications include:

• Properly fit shoes with depth
• Medial heel wedges
• Functional orthotics
  • Added cushion under heel