How Much Do You Know About Plantar Fasciitis?


101 Facts About Plantar Fasciitis


Did you know approximately 2 million people in the United States will suffer from Plantar Fasciitis in their lifetimes?  We know finding facts and figures about Plantar Fasciitis can be time-consuming and frustrating, so we put together this list of the top 101 facts, notes, and statistics so you can easily reference them and refer back to them any time in the future.  This space is constantly changing, so if you see a fact that is not up-to-date, feel free to let us know. And if you know a stat that we should add, let us know that too!


1. Plantar fasciitis creates a stabbing pain at the heel on the bottom of your foot.


The discomfort is normally severe when you take your first few steps after waking up, but it can also be caused by long periods of standing or getting up after sitting. Exercise generally makes the pain worse, not during it.


2. The arch of your foot is supported by the plantar fascia, which is shaped like a bowstring and absorbs shock when you walk.


Small tears in the fascia might occur if the tension and stress on this bowstring become too high. Although the origin of plantar fasciitis in many cases is unknown, repeated stretching and tearing can irritate or inflame the fascia.


3. Runners are more likely to get plantar fasciitis.


Plantar fasciitis is more common in overweight people and people who use shoes with insufficient support.


4. One of the most common reasons for heel discomfort is plantar fasciitis.


It is caused by inflammation of a broad band of tissue that links your heel bone to your toes and runs across the bottom of your foot (plantar fascia).


5. Avascular scarring of the plantar fascia can lead to plantar fasciosis after a year of chronic plantar fasciitis.


It is painful due to a lack of blood supply to the scarred tissues, and it is resistant to treatment for plantar fasciitis that reduces inflammation.


6. Walking and running might be tough with plantar fasciitis.


It can make the foot stiff and sensitive in the mornings, especially while rising from a seat or getting out of a car. Plantar fasciitis makes walking barefoot on rough surfaces uncomfortable. The bottom of the foot can become heated, swelling, and sensitive at times.


7. The diagnosis of plantar fasciitis is based on the patient’s medical history as well as a physical examination.


Localized soreness along the sole of the foot, most typically near the inside arch of the heel, is a symptom of plantar fasciitis.


8. In most cases, no additional testing is required. If a heel spur is present, X-ray testing can detect it and rule out other causes of heel discomfort, such as fractures or tumors.


Plantar fasciitis can also be diagnosed via ultrasound imaging.


9. Without therapy, plantar fasciitis normally goes away in 6 to 18 months.


Plantar fasciitis patients will recover 97 percent of the time with 6 months of consistent nonoperative treatment.


9. Plantar fasciitis can be relieved with foot stretches and exercises.


It’s possible to accomplish so by reducing discomfort, increasing muscle strength, and increasing flexibility in the foot muscles and ligaments.


10. Shoe inserts give the arch of the foot extra support.


The plantar fascia will be less stressed with inserts, which may be especially beneficial for persons who spend a lot of time on their feet. Arch inserts that are soft and supportive may also be useful.



11. Massage has been found to aid some people with their symptoms. Concentrate on massaging the arch of the foot at the location of the injury.


Massage any nearby muscles that have gotten stiff as a result of the pain. Some people find that rubbing the arch of their foot with an ice bottle provides relief.


12. The foot will not be supported if the shoes do not fit properly.


Inadequate footwear can make it difficult to walk and place extra strain on the plantar fascia.


13. A standing calf stretch with your toes on the wall is one of the best stretches you can do to speed up recovery and prevent plantar fasciitis from returning.


Prop your toes against a wall to keep your legs straight and take a step back. Gently push your body against the wall, keeping both legs straight, until you feel a stretch in your front foot and calf. Hold the position for 30 to 60 seconds. Switch sides and repeat two or three times on each side.


14. According to Quirolgico, another beneficial calf stretch is the runner’s stretch.


To execute it, start by standing with your feet hip-width apart in front of a wall at arm’s length. Bend one knee and place both hands flat against the wall. Step back with your other foot until your leg is straight and your heel is flat on the ground. Maintain a forward-facing stance and slowly press into the wall until your back calf and heel stretch. Hold for 30 to 60 seconds on each side and repeat two or three times.


15. Plantar fasciitis frequently gets worse after you’ve been motionless for a while (as when sleeping or sitting at your desk).


Roll your foot over a lacrosse, tennis, or small massage ball for a few minutes before standing up to relieve pain and release the plantar fascia.


16. Wearing a dorsal night splint is another option for assisting your recovery.


A dorsal night splint is designed to keep your ankle elevated up as you sleep, stretching out the plantar fascia.


17. Acupuncture, a therapeutic modality often employed in traditional Chinese medicine, may be a safe and effective therapy alternative for plantar fasciitis in addition to conventional care options.


Acupuncture is a treatment for pain that includes inserting small needles into the skin at precise locations on the body to redirect energy flow. The data suggests that stimulating certain nerves, muscles, and connective tissue boosts your body’s inherent pain-relieving capacities.


18. Excess weight can harm the plantar fascia, reducing its ability to absorb shock and resulting in heel pain.


In nonathletes, there appears to be a strong link between increased body mass index (BMI) and plantar fasciitis. Pregnancy also increases your risk by putting more weight on your feet.


19. According to previous studies, those with overpronation (rolling inward on their arches when walking or running) or flat feet (also known as low or falling arches) are more prone to develop plantar fasciitis because the full soles of their feet touch the ground when standing.


Similarly, abnormally high arches (cavus foot) increase your risk since standing or walking puts too much pressure on the heel and ball of the foot. An abnormal running or walking stride can also put additional strain on the plantar fascia.


20. Flexing the foot promotes blood flow and releases stress in the calves, both of which can aid with discomfort.


This workout requires the use of an elastic stretch band, which may be purchased at sporting goods stores or online.


21. Stretch the foot and calf muscles by curling a hand towel or facecloth with your toes.


Before you go for a stroll or any other morning activity, try these stretches.


22. Heel spurs are common in persons with plantar fasciitis, although they are not the source of the discomfort.


Heel spurs affect one out of every ten persons, however only one out of every twenty (5%) of those with heel spurs have foot pain. The pain can be managed without removing the spur because it is not the cause of plantar fasciitis.


23. The first step in minimizing pain is to reduce or altogether eliminate the activities that aggravate it.


You may need to cease participating in sports that require your feet to pound on hard surfaces (for example, running or step aerobics).


24. It is effective to roll your foot over a cold water bottle or ice for 20 minutes.


This can be repeated 3–4 times a day.


25. Pain and inflammation are reduced by drugs like ibuprofen and naproxen.


If you’ve been taking the medicine for more than a month, consult your primary care physician.


26. Tight muscles in your feet and calves cause plantar fasciitis.


The most effective technique to ease the pain associated with this issue is to stretch your calves and plantar fascia.


27. To relieve inflammation and pain, cortisone can be injected into the plantar fascia.


It is a potent anti-inflammatory medicine that is a form of steroid. Your injections may be limited by your doctor. The plantar fascia can rupture (tear) as a result of multiple steroid injections, resulting in a flat foot and chronic pain.


28. The majority of individuals sleep with their feet down.


One of the causes of morning heel pain is the relaxation of the plantar fascia.


29. The plantar fascia is stretched as you sleep with a night splint.


A night splint is quite useful and does not need to be used once the discomfort is gone, despite the fact that it might be difficult to sleep with.


30. Your doctor may recommend that you engage with a physical therapist to develop a stretching program for your calf muscles and plantar fascia.


A physical therapy program may include specific ice treatments, massage, and medication to reduce inflammation around the plantar fascia, in addition to exercises like the ones indicated above.


31. When it comes to NSAIDs, don’t make the mistake of using them to temporarily relieve pain so you can do things that can aggravate your Plantar Fasciitis, such as running or playing a rough game of basketball.


Pain is a warning sign that something isn’t right. Respect the discomfort and use NSAIDS as needed to relieve it–but not as a crutch!


32. It’s probably not a bad idea to test a new treatment if it’s cheap and doesn’t have any negative side effects. Be wary of pricey and brand-new “miracle” cures for heel pain that are gaining a lot of attention online.


Remember that most cases of Plantar Fasciitis can be effectively cured at home with relatively low-cost solutions. Do your study before attempting other therapies to uncover authentic user reviews, any research that supports the new treatment, and the track record of the firm pushing the new treatment.


33. When you remove your weight off your foot in the early stages of plantar fasciitis, the discomfort may go away immediately. The pain, on the other hand, may take longer and longer to fade away over time.


The plantar fascia will eventually break away from the heel if left untreated. Calcium is injected into the torn area by the body. A heel spur is the result of this growth into a bone.


34. Extracorporeal shock-wave therapy is another option if the plantar fasciitis develops persistent and does not respond to previous treatments (ESWT).


The damaged area is bombarded with high-pressure sound waves in order to stimulate blood flow and healing.


35. Surgery is only performed in the treatment of plantar fasciitis on a very rare occasion.


It is often used only when all other therapies have failed and the pain is severe. The fasciotomy surgery includes the partial or complete separation of the plantar fascia from the heel bone.


36. Consider cross-training or doing other exercises that don’t irritate the plantar fasciitis if activity causes pain.


Massage after a workout helps to expedite healing and relieve discomfort, while icing helps to reduce inflammation.


37. You can simply point and flex your toes to improve foot strength if your pain level is too high (and the bottom of your foot is too tight).


The toe towel curl, on the other hand, is a well-known exercise for strengthening the foot and reducing pain. If your plantar fasciitis is inflamed, take it slowly at first. To do this, place your foot on a towel and try to grip it with your toes before releasing it. This should be done ten times per foot.


38. The runner’s wall stretch is an excellent approach to lengthen and stretch the muscles in your rear leg


With your knee slightly bent, stand with your right toe near to the wall. Straighten your left leg by stepping it back wider than your hips. Feel a stretch in the back of the leg, into the calf, by pressing down through the left heel. Switch legs after a few breaths of holding.


39. The tightest area is frequently felt after a standing stretch for the back of the legs. If your hamstrings are also tight, the stretch may run right to your calves instead of around them.


That’s why we do this stretch on a step with one leg raised and a strap over your foot. Stand tall, flex your foot, and elevate one leg roughly three steps (or on a chair or other raised surface). To feel a stretch in your foot and calf, wrap the strap around the ball of your foot and draw the top of your foot and toes back with it. Switch legs after a few breaths of holding.


40. If plantar fasciitis is left untreated, signs of healing can take a long time to develop.


Plantar fasciitis can take up to 18 months to recover if left untreated, according to one group of researchers.


41. Plantar fasciitis pain is usually at its most severe first thing in the morning.


You should experience less and less pain in the morning as the problem resolves.


42. Pain near the heel and down the arch of the foot is common in those with severe plantar fasciitis.


The pain should be limited to the heel when the plantar fascia heals.


43. Plantar fasciitis can make walking unpleasant, so you might try changing your stride, or the way you walk, to try to alleviate the pain.


Changes in gait, on the other hand, might cause additional tension and pain in the knees, hips, and lower back. The fact that these places aren’t in pain indicates that your plantar fasciitis is improving.


44. The gastrocnemius recession or gastrocnemius release operation is used to treat plantar fasciitis.


The gastroc tendon, which is a component of the Achilles tendon, is being lengthened. The stress in the Achilles tendon and the tension in the plantar fascia are known to be linked. Patients with equinus contracture — tightness in the calf muscles and tendons that makes it difficult to keep a foot in a neutral position — may benefit from this treatment (a 90-degree angle to the leg).


45. Plantar fasciitis is diagnosed and treated by physical therapists.


When you’ve been diagnosed, your physical therapist will work with you to create a treatment plan that will help you feel better.


46. Plantar Fasciitis is most common in people between the ages of 40 and 60 years old.


This is partly due to the fact that the tissue in our feet begins to lose suppleness as we get older!


47. Heel pain can also be caused by excess weight!


Obesity is a contributing factor in 70% of plantar fasciitis instances. In some circumstances, suddenly gaining weight is unavoidable and even beneficial (for example, pregnancy). In other instances, however, it’s crucial, if at all feasible, to maintain a healthy weight in order to have good feet, according to a research published by Dr. Rosenbaum in Medical Clinics of North America.


48. Plantar fasciitis is frequently misdiagnosed.


When it comes to heel and foot discomfort, Plantar Fasciitis isn’t always to blame. You might not have plantar fasciitis if your discomfort doesn’t go away, or if insoles and stretching make it worse. Ligament tears and plantar fibromas are two of the most common disorders that mimic plantar fasciitis, and if you’re having trouble sleeping, you may have Tarsal Tunnel Syndrome.


49. A fourth of your body’s bones are found in your feet!


Plantar fasciitis has a fun fact: Your feet contain a quarter of your body’s bones–52 in total! Plantar fasciitis is very likely when those bones are out of position.


50. Plantar fasciitis affects more women than males.


Did you know that on average, women walk three kilometers more each day than men? That could explain why women are four times more likely than men to have foot problems–or why 9 out of 10 women wear shoes that are too small on a daily basis! Ladies, it’s time to put those stilettos away and put on a pair of orthotics.


51. One in every five people has high arches, which can lead to plantar fasciitis.


High arches affect over 20% of the population in the United States, and are a primary cause of Plantar Fasciitis if not properly supported!


52. Heel spurs are seen in nearly half of all cases of plantar fasciitis.


Heel spurs are caused by plantar fasciitis, not the other way around, contrary to popular perception. Heel spurs form as a result of stress to the plantar fascia, and they can be extremely painful when walking. Heel spurs can be avoided if plantar fasciitis is treated early.


53. One in every four people has flat feet, which can contribute to plantar fasciitis.


On the other hand, 60 million Americans (about a quarter of the population) have flat feet, which is yet another huge red indicator for Plantar Fasciitis. Flat feet and high arches do not absorb impact as well as balanced arches, putting extra pressure on the fascia.


54. Custom orthotics can cost up to ten times as much as Heel Seats.


Custom orthotics range in price from $200 to $800 per pair, whereas Heel Seats are only $24.95 a pair. Custom orthotics are overprescribed and pricey, according to many doctors.


55. In any case, custom orthotics are unsuccessful in the treatment of plantar fasciitis.


According to a groundbreaking study, personalized orthotics only alleviated pain 11 percent after three months when compared to placebo orthotics. Going custom can be prohibitively expensive–and may not be worthwhile!


56. Up to 80% of persons with plantar fasciitis benefit from night splints.


According to several studies, using night splints improves the condition of 80 percent of patients. According to additional research, night splints are especially beneficial for people who have had symptoms for more than a year. Night splints are a great way to speed up recovery, especially if you’re not seeing the results you’d like. They can help with morning pain, which is one of the symptoms of plantar fasciitis.


57. Even better outcomes may be obtained by combining orthotics with sleep splints.


A combination of a foot orthosis and an adjustable dorsiflexion night splint reduced discomfort by 47 percent in one trial. If one treatment for plantar fasciitis isn’t cutting it, consider combining it with orthotics and a night splint.


58. It might be as simple as standing still to cause heel pain.


Plantar fasciitis is far more likely to develop when you stand still for a long time, because the strain is concentrated on a few muscles over a long period of time, rather than spread out over many muscles. Plantar Fasciitis is a condition that develops quickly when you stand for lengthy periods of time.


59. Plantar fasciitis is underrepresented in terms of information.


Surprisingly, there are more websites dedicated to foot fetishes than there are to plantar fasciitis!


60. Plantar fasciitis affects professional sports and celebrities alike.


Celebrities’ feet are just like yours when it comes to Plantar Fasciitis! When it comes to professional athletes, whose feet take a beating, this is especially true. Paris Hilton, Angelina Jolie, Albert Pujols, Pau Gasol, Peyton Manning, Tim Duncan, and Shaquille O’Neal are among the celebrities that have suffered from Plantar Fasciitis.


61. One million doctor visits are attributed to plantar fasciitis each year.


Plantar fasciitis discomfort sends a large number of patients to the doctor’s office each year, according to the Centers for Disease Control and Prevention’s National Center for Health Statistics. That isn’t a trivial matter! In many of these circumstances, at-home treatments such as stretching, ice, and orthotic inserts could be used to alleviate discomfort.


62. For a tiny minority of people, surgery is the only option.


In one study, more than 75 percent of individuals who underwent surgery had favorable outcomes. While surgery should only be used as a last resort due to the cost, dangers, and recovery time, it is a very effective final choice if necessary!


63. Plantar fasciitis surgery might cost upwards of $10,000.


Surgery is not only very expensive, but it also requires a lot of physical treatment and downtime, so it should only be used as a last choice.


64. Plantar fasciitis is a costly condition!


In the United States, the cost of treating Plantar Fasciitis is estimated to be $284 million per year–much of it spent on unneeded operations and medical procedures!


65. The plantar fascia ligament is capable of absorbing a tremendous amount of force.


It’s incredible to consider, but the cumulative impact your feet endure on a daily basis is comparable to the weight of a fully loaded cement truck! It’s no surprise that if your arch isn’t adequately supported, this tension can wreak havoc on your plantar fascia!


66. Difficulties with dorsiflexion.


Plantar Fasciitis patients frequently struggle with a condition called as dorsiflexion. The foot is brought closer to the shin in this movement.


67. Plantar fasciitis affects one out of every 10 people.


Plantar Fasciitis affects roughly ten percent of the population at some point during their lives. That’s a large group!


68. Fascia Bar Technology orthotic inserts are twice as effective as Dr. Scholls.


Orthotics aren’t all made equal! The difference between orthotic shoe inserts that precisely address plantar fasciitis and inserts that simply provide cushioning is Fascia Bar technology — and a clinical investigation has verified it!


69. Plantar warts are tiny growths that appear near the sole and heel of the foot’s plantar area.


They happen when the human papillomavirus gets into close touch with the foot. While most plantar warts aren’t dangerous, walking on them can be rather uncomfortable.


70. Patients Experience Recurrence Frequently.


When you have plantar fasciitis, your heel weakens and becomes more prone to the ailment. This implies you should be extra cautious and have your foot examined by a doctor as soon as you notice heel pain. Plantar fasciitis is more likely to develop if you change the way you walk or run.


71. Plantar fasciitis can be triggered by trying a new model of shoe that does not provide the necessary support.


Shoes that are excessively flexible might put additional strain on the plantar fascia ligament, and different padding distribution can change your walking or jogging stride. To reduce the risk, simply buy shoes that are immediately comfy and do not need to be “broken in.”


72. Plantar fasciitis is more likely to develop among long-distance runners.


People who work in physically demanding jobs are also at a higher risk because they are on their feet all day.


73. In fact, according to a survey done by the American Podiatric Medical Association (APMA), 77 percent of Americans (18 and above) suffer from foot pain.


Plantar Fasciitis, one of the most frequent foot aches, will affect approximately 2 million people in the United States.


74. At first, it feels like you have a lump in your sock. It isn’t always painful, but it is unpleasant.


The pain then begins to linger, and you begin to experience increasing discomfort in your heel. This is the first symptom of plantar fasciitis and can be avoided.


75. Winter boots, tennis shoes, and other supportive footwear provide excellent heel and foot protection.


When you put on a pair of flimsy flip flops (or no shoes at all!) and walk down the street, your feet will notice. Consider a time when a brief trip to the shop evolved into an entire day spent in flip flops. Plantar fasciitis is caused by repeated days of walking on hard pavement with no cushion or support to protect your foot.


76. Plantar fasciitis is a condition characterized by micro rips, collagen breakdown, and scarring at the ligament’s insertion location on the bone.


A review suggested that it be renamed plantar fasciosis because inflammation plays a minor or no impact.


77. The Windlass mechanism, which disrupts the plantar fascia’s natural mechanical movement during standing and walking, places excessive strain on the calcaneal tuberosity and appears to contribute to the development of plantar fasciitis.


Other research has suggested that plantar fasciitis may be caused by a tendon injury involving the flexor digitorum brevis muscle, which is positioned directly deep to the plantar fascia.


78. Plantar fasciitis can lead to plantar rupture if the condition is not treated and the person continues to engage in activities that put a lot of strain on the plantar fascia.


Jogging, sports, or even standing for long periods of time in ill-fitting footwear are examples of these activities.


79. Untreated plantar fasciitis and heel pain can lead to hip, back, and knee discomfort in the long run.


The tendons, ligaments, and muscles in the lower body operate in tandem with the arches of the feet. Other muscles, ligaments, and tendons must work harder to compensate when the plantar fascia is weakened. This cycle of overuse can develop to pain outside of the arch.


80. If plantar fasciitis is not addressed, the inflammation and tension on the plantar fascia can cause small tears in the fascia (also known as “micro-injuries”).


You may not feel each small tear at the exact instant it happens, but you will see your discomfort level steadily worsen. If left untreated, these tears can develop in size and number, making the plantar fascia more vulnerable to rupture and debilitation.


81. The longer plantar fasciitis is left untreated, the longer the healing process will take and the greater the risk of problems.


The most common ways plantar fasciitis persists and worsens are not allowing your arch enough rest time after a foot injury, working a job that requires a lot of time on your feet, participating in high-impact activities without proper footwear or support, and failing to follow through with at-home treatments after symptoms develop.


82. You may hear or feel a “pop” in your arch if your plantar fascia has ruptured.


You’ll probably feel acute pain in your arch and heel, as well as bruising and swelling. A ruptured plantar fascia is extremely painful and necessitates immediate medical attention.


83. Plantar fasciitis is one of the most significant risks of going barefoot for persons with healthy feet.


Similarly, most podiatrists agree that persons with plantar fasciitis should avoid being barefoot for lengthy periods of time, particularly on hard surfaces such as concrete or wood floors.


84. While barefoot running might help you improve your gait and minimize the amount of effort you generate with each step, excellent running shoes can still absorb that force far more effectively than bare feet.


In other words, running barefoot may generate less force, but it absorbs a bigger percentage of that force. Running with shoes, on the other hand, may generate slightly greater force, but your shoes will absorb more of that force.


85. Walking, standing, or running barefoot provides limited support and cushioning while spreading your body’s weight and the impact of physical exercise. The fat pad on the bottom of your foot becomes the only source of protection and cushioning.


Your plantar fascia is protected by this natural padding. When you walk barefoot for an extended period of time on a hard surface, the fat pad might break down, wear out, or become inflammatory, making it less effective at protecting your fascia. The fascia can flatten and sustain minor tears over time. Walking barefoot on hard surfaces might aggravate or prolong the healing process if you already have plantar fasciitis.


86. When walking or sprinting, most people touch the ground with their heels first (rather than with the ball of the foot). And a heel-first gait can create up to three times your body weight in force!


When you walk or run barefoot, your gait normally alters to where the ball of your foot strikes the ground first, resulting in less impact. The exact amount is still up for question, although there is some evidence that the gait adjustment, when combined with the naturally shorter stride that occurs as a result, can result in a 4 percent difference.


87. TENS therapy, or transcutaneous electrical nerve stimulation, is a relatively new treatment for plantar fasciitis that uses modest doses of electrical current to stimulate the nerves in the feet, improving blood flow and interrupting the body’s pain signals.


Some TENS devices resemble a pair of sandals that you can wear beneath your desk at work, while sitting on the couch at home, or even first thing in the morning while lying in bed. Other TENS units resemble a small cell phone and have electrodes connected that may be put on various regions of the foot.


88. A simple washcloth is one of the simplest methods to stretch your feet. Bring one to work with you, or keep one on your nightstand at home for a quick, pain-relieving solution at any time!


Simply sit in a chair or on your bed, and place the washcloth in front of your feet on the floor. Then try to draw the washcloth underneath your feet using only your toes.


89. There’s a good chance you have a water bottle on your desk at work, in your kitchen at home, or on your nightstand.


You can convert this basic cure into a powerful tool for treating plantar fasciitis.


90. A podiatrist can help you locate medicinal therapies that are best suited for your situation if your heel pain is severe or persistent.


Additionally, activity changes may be recommended, although for people who spend a significant portion of their workday on their feet, this may not always be feasible.


91. If you get this painful condition again, having a good daily plantar fasciitis treatment plan in place will help you get rid of the symptoms and avoid it in the future.


Your health care practitioner will likely recommend plantar fasciitis physical therapy exercises in addition to rest.


92. If you get this painful condition again, having a good daily plantar fasciitis treatment plan in place will help you get rid of the symptoms and avoid it in the future.


Your health care practitioner will likely recommend plantar fasciitis physical therapy exercises in addition to rest.


93. Plantar fasciitis is still diagnosed primarily based on the patient’s medical history and clinical symptoms.


Radiographs of the heel and ankle can be used to rule out fractures and diagnose heel spurs.


94. Collagen necrosis, angiofibroblastic hyperplasia, chondroid metaplasia, and matrix calcification were discovered in samples of inflammatory fascia retrieved following surgery.


These alterations are typical of a chronic degenerative/reparative process brought on by repeated stress.


95. Casting may be required for complete rest in cases when symptoms have lasted longer than 6 weeks.


The fascia has been shown to be effective when released openly or endoscopically.


96. Although mechanical causes of heel pain are commonly associated with plantar fasciitis, some cases have an intriguing etiology and are classified as idiopathic.


Despite the fact that the term fasciitis implies inflammation, recent research suggests that it is more likely to be a noninflammatory, degenerative condition known as plantar fasciosis.


97. Plantar fasciitis is the most frequent cause of heel pain in adults, and it is caused by repetitive use or putting too much strain on the fascia.


People who are overweight, female, or over 40 years old, as well as those who spend a lot of time on their feet, are at a higher risk of getting plantar fasciitis. Plantar fasciitis can also affect athletes, particularly joggers and runners.


98. If conservative treatment for plantar fasciitis fails to relieve symptoms, radiographs should be taken to rule out other possibilities for heel pain, such as stress fractures, arthritis, or skeletal anomalies.


A spur on the leading edge of the calcaneal inferior surface may be visible on radiographs, although it is not pathognomonic of the condition and is not required for diagnosis. It’s a typical observation in asymptomatic feet, but it’s rarely the source of a patient’s heel pain.


99. Because the benefits of injectable steroids for plantar fasciitis have become somewhat debatable, they should only be used when all other options have failed. The use of steroid injections is associated with a delayed rupture of the plantar fascia.


Although rupture is usually associated with the remission of plantar fasciitis symptoms, the majority of these patients may experience long-term complications such as longitudinal arch strain, lateral plantar nerve dysfunction, stress fracture, and hammertoe deformity.


100. Surgery should be considered for the 10% or fewer people who have heel discomfort that persists for at least a year despite treatment, especially if the symptoms of plantar fasciitis are disabling.


Identifying the source of recurrent stress on the plantar fascia and resolving it as part of the treatment is critical for both speeding up healing and lowering the chance of recurrence. Chronic recurrences could indicate biomechanical imbalances in the foot, which a podiatrist can correct with special orthotics.



101. The first step in minimizing pain is to reduce or altogether eliminate the activities that aggravate it.



You may need to cease participating in sports that require your feet to pound on hard surfaces (for example, running or step aerobics).