Pain is the main symptom. This can be anywhere on the underside of your heel. However, commonly, one spot is found as the main source of pain. This is often about 4 cm forward from your heel, and may be tender to touch.
Your foot has many tendons, fibrous tissues, bones, and muscles. Plantar fasciitis occurs when the fibrous tissue which connects your toes to your heel bone becomes irritated and inflamed. Pain may occur after sitting or lying down for a prolonged time and can come on quite suddenly. Pain is usually sharp (most people describe it as a stabbing pain) and subsides a bit after you move around. Pain may reoccur if you stand on your feet for a long time, or if you once again sit for long periods of time and then get up to walk.
If you don’t treat plantar fasciitis, it may become a chronic condition. You may not be able to keep up your level of activity, and you may develop symptoms of foot, knee, hip and back problems because plantar fasciitis can change the way you walk.
Because there are several potential causes, it is important to have heel pain properly diagnosed. A foot and ankle surgeon is able to distinguish between all the possibilities and determine the underlying source of your heel pain.
Although plantar fasciitis may result from a variety of factors, such as repeat hill workouts and/or tight calves, many sports specialists claim the most common cause for plantar fasciitis is fallen arches. The theory is that excessive lowering of the arch in flat-footed runners increases tension in the plantar fascia and overloads the attachment of the plantar fascia on the heel bone (i.e., the calcaneus) (Fig. 1). Over time, the repeated pulling of the plantar fascia associated with excessive arch lowering is thought to lead to chronic pain and inflammation at the plantar fascia’s attachment to the heel. In fact, the increased tension on the heel was believed to be so great that it was thought to eventually result in the formation of a heel spur.
The good news is that plantar fasciitis is reversible and very successfully treated. About 90 percent of people with plantar fasciitis improve significantly within two months of initial treatment.
Other treatments include physiotherapy, acupuncture or a shot of cortisone in the affected part of the foot to calm the inflammation.
When looking for the perfect plantar fasciitis insoles, you want to make sure that they fit a few certain criteria. While not imperative, there are some tips that you can use to minimize the “buyer’s remorse” of simply picking out any random orthotic on the market and finding out later on that they ended up being worthless as a treatment option.