What is plantar fasciitis?
causes heel pain, which often becomes long-lasting (chronic). It occurs when
the long, flat ligament on the bottom of the foot (plantar fascia ) stretches irregularly and develops small tears that may cause
the ligament to become inflamed.
The most common symptom of
plantar fasciitis is heel pain when you take your first steps after getting out
of bed or after sitting for a long time.
What causes plantar fasciitis?
is often caused by problems that affect the way you walk, such as walking with
an inward twist or roll of the foot (pronation ) or having high arches, flat
feet, or tight
Achilles tendons. Repetitive activities, being
overweight, or wearing bad shoes can aggravate or contribute to plantar
fasciitis. These factors lead to small tears, which may result in inflammation
of the ligament and pain in the heel.
What are the risks of having plantar fasciitis?
Ongoing heel pain will make walking and standing painful. You may change
the way you walk to relieve the pain. This eventually may lead to more
discomfort and pain as well as other foot, leg, hip, or back problems. Chronic
plantar fasciitis may limit your ability to work and enjoy athletic or exercise
How is plantar fasciitis treated?
plantar fasciitis is easy to follow and is usually successful if you start soon
after symptoms appear. Nonsurgical treatment includes rest, ice,
anti-inflammatory drugs, stretching exercises, shoe inserts (orthotics), and
night splints. Corticosteroid injections may be used in some cases to reduce
inflammation. These treatments may take 6 months to a year to relieve heel
Surgery is usually not necessary for plantar fasciitis.
Most people (95%) who have plantar fasciitis are able to relieve heel pain with
nonsurgical treatment.1 You and your doctor may
consider surgery when nonsurgical treatment for at least 6 months has not
helped and when heel pain is limiting your daily activities. Surgery involves
cutting (releasing) part of the plantar fascia ligament to release the tension
and relieve inflammation.
What are the risks of surgery?
Risks of plantar
fascia release include:
- Nerve entrapment or
tarsal tunnel syndrome.
- Recurring heel
- Neuroma, a benign tumor made of nerve cells and nerve
- Delayed wound healing.
- Prolonged pain and
- Delay in return to normal
- Risks of
- Possibility that symptoms could get worse after surgery
For more information, see:
- Plantar fascia release.
- Plantar Fasciitis.