Plantar fasciitis

Plantar fasciitis is one of the most common conditions we see in our practice, approximately is10% of the population will suffer from it during their lifetime.

It usually presents with pain in the sole of the foot especially under the heel and into the arch, but it can also be present in the forefoot.

The pain is generally worse first thing in the morning, after rest and when standing for long periods.  It is a very common injury in runners and people who participate in dynamic weight bearing activity, but is also commonly found in less active members of the population.  It can become a chronic condition if not treated appropriately, it is not unusual to see patients who have had it for 2-3 years.

Many cases of plantar fasciitis are biomechanical, that is to say that the foot does not function in an efficient way and causes overloading of other components within the foot.  Another term for this is an overuse injury.

Treatment can involve, strapping, ice, footwear advice, acupuncture and tension night splints.  If appropriate  temporary orthotic insoles may be supplied these are designed to allow the feet to function more efficiently, reducing the load on the plantar fascia; this is a temporary version of a more permanent device that may be supplied eventually.