Plantar Fasciitis

Plantar fasciitis is the inflammation of the ligament (plantar fascia) that runs from the heel bone to the ball of the foot.  This ligaments functions to stabalize and support the arch.

The plantar fascia is made of multilayered, fibrous aponeurosis broad band which is surrounded by fibrofatty subcutaneous tissue, intrinsic muscle and neurovascular structures. The plantar fascia originates from the calcaneus (heel bone) and fibers of fascia divide into the metatarsophalangeal (MTP) joint.

In the United states of America more then two million people receive treatment for plantar fasciitis 1. One out of ten people will develope heel pain in their lifetime 2.

Studies have shown that about 50% to 75 % of patients who have plantar fasciitis also have a heel spur 3-5.  Although the heel spur can occur with plantar fasciitis, it is not considered the cause.

The cause of plantar fasciitis is controversial but can include:

  • Pes planus (flat feet)
  • Pes cavus (high arch)
  • Equinus (tight calf muscle)
  • Trauma
  • Obesity
  • Overuse or plantar fascia rupture
  • The most common cause of plantar fasciitis is due to biomechanics

Symptoms of plantar fasciitis can include:

  • Dull, achy, sharp, throbbing and inflammation of the heel. P
  • Pain on the bottom of the heel mostly when taking the first steps in the morning or after prolong period of sitting or walking.

Diagnosis of plantar fasciitis is based on medical history and clinical examination. Diagnostic imaging studies such as x-rays or other imaging modalities such as a MRI,CT scan, NCV or Bone Scan can be utilized to rule out other pathologies.

Conservative Treatment:  (
90 % of the time plantar fasciitis does not require surgery and can be treated by conservative therapy)

  • Orthotics (inserts)
  • Heel cups
  • Padding
  • Night splint
  • Walking boot
  • Supportive shoe gear
  • Icing
  • Anti–inflammatory Medications (NSAIDS)
  • Cortisone Injection
  • Physical therapy
  • Stretching exercises
  • Decreasing activity.

 

Surgical Therapy:

There are numerous surgical procedures available to treat plantar fasciitis. These procedure includes:

  • Minimal Invasive surgery (endoscopic plantar fascia release or small incision approach)
  • Percutaneous coblation of the fascia
  • Traditional open fasciotomy
  • Extracorporal shock wave therapy (ESWT)
  • Platelet Rich Plasma (PRP) injections.

We encourage you to consult with a foot and ankle specialist for a complete assessment of your condition.

Dr. Jones Hormozi at Valley Foot & Ankle Center (VFAC) utilizes state-of-the-art technology, minimally invasive procedures, and advanced techniques to prevent and treat all conditions of the foot and ankle. This allows most patients to walk immediately after most procedures, and they are able to rapidly return to high levels of functioning with excellent outcomes.