‘Plantar fasciitis is one of the most typical causes of heel pain. It’s An inflammation of a thick band of tissue that connects the heel bone to the toes. The inflamed tissue runs across the bottom of the foot. Symptoms include stabbing pain near the heel. Pain might worsen in the morning, especially after getting up from rest and/or prolonged standing, running, or jumping. It usually occurs in middle-aged people. It also occurs in younger people who are on their feet, like athletes or soldiers. It can happen on one foot or both feet. It’s Usually self-treatable
And self-diagnosable tests or imaging are rarely required.
Treatment consists of therapy and self-care.
Treatments include physiotherapy, stretching exercises, shoe inserts, pain relievers, steroid injections, and surgery.
Therapies
Stretching, Physical Therapy, and Massage. Laser therapy is useful
Self-care
RICE (Rest, Ice, Compression, Elevation)
Rest, ice, compression, and elevation. An ice massage with a cold plastic bottle rolled under the feet helps a lot.
Selecting shoes that fit correctly and provide arch support. A soft sole is imperative, or a readymade silicon cushion can be inserted into a normal shoe.
Aerobic activity for 20–30 minutes 5 days a week, after the acute symptoms have subsided, improves the tone of the arch. If injured, pursuing an activity that avoids the injured muscle group or joint can help maintain physical function while recovering.
Adjusting the amount or type of physical activity to avoid aggravating a condition.
Medications
Nonsteroidal anti-inflammatory drug
Relieves pain, decreases inflammation, and reduces symptoms.
A steroid injection in the heel is often given to reduce inflammation or for tissue growth and repair. PRP therapy is also a new useful alternative to steroids.
Surgery is rarely ever required for this condition.
Plantar Fascia Toe Stretch
- Remove your shoe.
- Stand facing a wall, and place the ball of your foot on the wall. Your toes should be extended up the wall.
- Slowly press down, stretching your toe backward and elongating your plantar fascia.
- Hold the position for 10 to 15 seconds.
- Repeat five times.
Dr. MS Narula is a senior consultant, orthopedics Spine, and joint replacement at Apollo clinics. Ph no 998844848
