Consultant – Orthopaedic Surgeon
Speciality interests include:
Lower extremity: trauma, sports surgery, knee, patella dislocation, tendon problems, foot and ankle surgery, and the management of degenerative joint disease in younger patients.
Visiting on Sep 21-22, 2019Request an Appointment
Plantar fasciitis is a pain in the bottom of the foot caused by inflammation of the plantar fascia connective tissue. Pain is frequently located in the plantar heel aspect. This connective tissue is one of the most important structures in order to maintain a normal foot structure and effective biomechanics since it works as some sort of “spring” allowing the foot to bend down when is needed and recover with enough energy in order to propel the leg and the whole body adequately. This is especially important in propulsion, explosive or weight-bearing sports and Crossfit combine all these features. Conditions such as flat foot, over-pronated foot, cavus foot, weight gain, lack of flexibility in calf muscles and overuse are common causes of plantar fasciitis. Jobs, activities or sports in which heavyweights need to be lifted or supported can affect negatively the tension and plantar fascia normal function developing an insidious recurrent plantar pain.
What are the treatment options?
There is not a unique 100% effective treatment. The success lies in a combination of different treatments:
• Exercise and stretching
Calf muscles tension directly affect plantar fascia tension. If Achilles tendon is retracted, tension in plantar fascia will increase, therefore stretching and keeping flexible calf muscles is essential.
• Pain medication
Painkillers and anti-inflammatory medication can be prescribed, as well as cold treatment for short-term pain relief, never as definitive or main treatment.
Highly effective to relieve tension in plantar fascia through direct contact and helping the plantar fascia, foot joints and other involved structures to stay into a neutral-physiologic position. Keeping these active and passive structures from being over-worked and over-loaded can possibly avoid plantar fascia pain.