Plantar fasciitis is one of the most common types of foot pain and affects both sedentary and athletic people.
It is typically most painful in the morning when people first start moving, eases off for a little while and then intensifies again as the day progresses.
Recently the condition has been renamed Plantar Fasciosis as the chronic condition has been found to be more of a degeneration of the fascial tissue. joint and muscular function than an inflammation.
Often corticosteroid injections are prescribed but although this may relieve initial symptoms other approaches such as exercise and stretching have been proven to be more beneficial for long-term relief and prevention of reoccurrence (Schwartz & Su, 2014).
Other factors such as heel spurs, calcaneal stress fractures and fat pad atrophy should be considered and ruled out also as possible causes of pain.
Loss of stability and movement have also been found to be shared in people with plantar foot pain, and weakness not only in the foot itself but in the muscles of the lower leg (Barreto Rabelo et al., 2023).
With these results in mind, a comprehensive program of stretching and strengthening is needed for the foot, ankle and lower leg.
Patience and persistence are also required as with many chronic pain problems this is not an overnight fix.
References
Barreto Rabelo, D., Coelho Figueira Freire, A. P., Colen Milagres Brandão, F., Oliveira Melo, S., Ocarino, J. M., Saldanha dos Anjos, M. T., Schleip, R., Souza, T. R., Simoneau, G., & Zambelli Pinto, R. (2023). Myofascial stiffness of plantar fascia and achilles tendon in individuals with plantar fasciopathy: An observational cross-sectional study. Musculoskeletal Science and Practice, 66, 102781. https://doi.org/10.1016/j.msksp.2023.102781
Schwartz, E. N., & Su, J. (2014). Plantar fasciitis: a concise review. The Permanente journal, 18(1), e105–e107. https://doi.org/10.7812/TPP/13-113
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