Heel Pain – Tips on how to Identify and Treat Plantar Fasciitas.

What is the Plantar Fascia?

If you have pain in the centre of one’s heel and along the middle arch you could have Plantar Fasciitas or plantar fascia pain, your heel pain will normally be worse along with your first steps, whilst leaving bed, but eases during the day with walking. Plantar fascia pain may be the explanation for many foot problems.

The plantar fascia is a long band which will be under tension and supports the middle arch of the foot, helping to carry it up. If the band comes under extreme tension it can be very painful and inflamed.

What are the main symptoms of Plantar fascia Pain

You could have had this condition for some time and it could be getting a little more uncomfortable daily, preventing normal weight-bearing activities. podiatry instruments This can be quite a very uncomfortable condition, which if left untreated can be very severe.

What are heel spurs?

Heel spurs are considered an all natural consequence of tearing of the plantar fascia’s attachment onto the heel which in turn causes bleeding and hardening. It is not normally a painful problem that will require any treatment apart from Orthotics.

How to Diagnose Plantar Fasciitis

– X-Ray of the heel.

– Ultrasound to exhibit thickening or swelling of the plantar fascia.

– Professional advice from the Podiatrist or other medical professional.

Reasons for Plantar Fasciitis heel pain

– Excessive rear foot turning inwards.

– High Arches.

– Flat Feet.

– Reduced upwards motion of the ankle.

– Obesity or sudden escalation in weight.

– High impact sports activities such as running on hard surfaces.

– Heel Spurs. – Alteration in heel fat pad properties.

– Tight Achilles tendon.

– This disorder is generally more prevalent amongst the 40-60 year old patients.

– Poor shoes that aren’t properly cushioned.

Treatments to help with this specific painful heel problem

The treatments for Plantar Fasciitis are many and varied but can include some of the listed either in isolation or in combination. It is definitely better to find the help of a specialist like a Podiatrist for professional guidance.

– Night splint to gently stretch the ankle during sleep.

– Stretching exercises – especially for the Achilles tendon and the plantar fascia, stretch before exercising and first thing each day before rising.

– Corticosteroid injection may provide some relief for several weeks, but isn’t normally a cure. – Heel cushions – to help provide cushioning for the heels.

– Orthoses – to correctly realign the feet and whole of the body. – Surgery may be suggested in more severe cases such as Plantar Fascia Release

– but only after all the treatments have failed and not for at least 12 months (should this be advised).

– Oxyflex cream to help with the pain.

– Pain killers or non-steroidal anti-inflammatory drugs to help reduce pain and inflammation.

Helpful advice for Plantar Fascia Pain

– Wear correctly fitting shoes that are well cushioned having an arch support. The shoes ought to be changed regularly.

– Avoid old and worn shoes which provide little or no cushioning.

– Avoid bear feet.

– Rest

– refrain from physical weight bearing activities that may worsen the problem.

– Wear lace up shoes.

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