Heel pain
Plantar fasciitis: causes, symptoms and effective solutions
Plantar fasciitis, a common foot condition that can affect anyone. In this informative guide, we'll delve into what plantar fasciitis is.
What it is
The plantar fascia is a thick band of tissue running from the heel bone to the base of the toes. It supports the arch and stores energy as you walk. When it is repeatedly overloaded, the tissue at its heel attachment becomes irritated and painful. Despite the name, it is more often a degenerative overload problem than a true inflammation.
How it feels
Sharp or bruising pain under the inside of the heel. Worst with the first steps out of bed or after sitting, easing as you move, then building again after a long day on your feet. It is usually tender to press on one specific spot, and can feel tight through the arch.
Why it happens
Almost always a change in load. A sudden increase in walking, running or standing hours, a new job on hard floors, worn-out or very flat shoes, a period of weight gain, tight calves limiting ankle movement, or a foot that flattens more than it should. Age plays a part too, as the tissue becomes less tolerant over time.
What actually helps
Settling the load comes first: reducing the aggravating activity without stopping altogether, supportive footwear worn indoors as well as out, and taping or padding to offload the painful attachment. Calf and fascia stretching restores the ankle movement that is usually missing.
From there, strengthening the calf and foot muscles is what changes the tissue's tolerance and keeps the problem from returning. Orthoses help when foot structure or work surfaces are part of the cause. Dry needling can release a tight calf that is driving the load. For stubborn cases, we look again at the diagnosis before escalating treatment.
How long it takes
Most people feel a meaningful difference within two to six weeks of getting the load right, with full resolution taking longer. The cases that drag on are usually the ones where the aggravating activity never changed. Starting early makes a real difference.
Sound familiar?
Have it assessed properly. No referral needed.