Plantar Fasciitis: Background, Pathophysiology & Prognosis
Heel pain or Arch Pain is most often caused by plantar fasciitis. Sometimes called heel spur syndrome when a spur is present. Heel or arch pain may also be due to other causes, such as a stress fracture, tendonitis, arthritis, nerve irritation, or, rarely, a cyst/tumor. Because there are several potential causes, it is important to have heel pain properly diagnosed.
An X-ray is suggested if the symptoms have not resolved with initial treatment.
Plantar fasciitis is an inflammation and tearing of the band of tissue (the plantar fascia) that extends from the heel to the toes. The most common question that I get is, “Is my plantar fasciitis curable?” The answer is YES!
Symptoms of Plantar Fasciitis
Pain on the bottom of the heel or arch
Heel or Arch pain that is usually worse after prolonged standing or walking
Heel or Arch pain that increases over a period of months
Heel or Arch pain with first steps out of bed, prolonged sitting or after a long car ride
Heel or Arch pain after or during running
For some people the pain subsides but returns after spending long periods of time on their feet.
Causes of Plantar Fasciitis
The most common cause of plantar fasciitis is overuse accompanied with an abnormal foot structure.
Tight calf muslces, achilles tendon.
Poor support in the shoes
Obesity contributes to plantar fasciitis.
Diagnosis of Plantar Fasciitis
A good physical exam and history is usually all that is needed to start the treatment of plantar fasciitis.
Diagnostic imaging studies such as x-rays, ultrasound, a bone scan, or magnetic resonance imaging (MRI) may be used to distinguish the different types of heel pain. Sometimes heel spurs are found in patients with plantar fasciitis, but these are not a source of pain.
Plantar Fasciitis Treatment and Cure
This will help you get rid of plantar fasciitis.
The underlying causes that led to this condition need to be treated.
In over 90% of patients, symptoms are resolved with conservative treatment.
Most patients with plantar fasciitis respond to non-surgical treatment:
Wearing supportive shoes and using custom orthotic devices are the mainstay of
Long-term plantar fasciitis treatment.
It is important to always wear a comfortable shoe. If you do not wear shoes at home
because of cleanliness reasons I recommend buying a new pair of shoes and designating
them for the home only.
PRP to treat plantar fasciitis.
Radiofrequency ablation to treat plantar fasciitis is a good minimally invasive option.
Surgery to release the fascia can be considered if symptoms of plantar fasciitis have not resolved.
Surgery for Plantar Fasciitis
Tenex fast procedure
Endoscopic plantar fasciotomy (EPF)
Dr. Kolodenker performs all of the above surgeries.
Please contact Dr, Gennady Kolodenker, DPM in Irvine. We also have offices in Newport Beach, Huntington Beach and Orange- Southern California. We will help you get rid of heel pain and arch pain.
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Last Updated 09-08-2019