Plantar fasciitis is probably the most common musculoskeletal problem that we see at Croydon Total Footcare. It certainly is the most common cause of pain under the heel. The classic symptom of plantar fasciitis is that the pain is typically much worse first thing in the morning when getting out of bed for those first few steps. It settles after that initial pain, but then generally gets worse as the day goes on.
The problem is a sort of inflammation with degeneration of the plantar fascia. The plantar fascia is a structure that is like a long ligament that is connected to the bottom of the heel bone and to the base of the toes, so its role is to hold up the arch of the foot. The main cause of plantar fasciitis is going to be anything that increases the load on the plantar fascia to stretch it beyond what it is designed to do. This can include a higher activity level, a higher body weight, tight calf muscles and biomechanics problems associated with the alignment of the foot.
The treatment for plantar fasciitis generally involves addressing those factors that increase the risk for it: ie reduce activity levels, reduce weight, stretch the muscles and improve the biomechanics. There are a number of different ways to address each of those factors.
What can we do about it? There is so much snake oil and nonsense treatments touted on the web for plantar fasciitis, so that if you want to go that way, you need to be wary. At Croydon Total Footcare, we will assess your plantar fasciitis, evaluate your activity, footwear, muscle function and biomechanics and devise a strategy that will best reduce the load in the plantar fascia and advise you on other methods to help the tissues that are damaged to get better. We don’t believe in one treatment fits all and individually tailor it for each case.
Croydon Total Footcare are the leading Podiatrists in Croydon and we have a lot of experience in treating plantar fasciitis. Craig writes about it a lot, especially this blog post that got a lot of attention for its no nonsense sensible approach to managing plantar fasciistis in runners.