What is Plantar Fasciitis?
Plantar fasciitis means degenerative process in this granulation tissue, micro-tears, collagen disarrays occurs and also inflammation of your plantar fascia in the foot. Plantar fascia is in the shape of a bowstring, supporting the arch of your foot and absorbing shock when you walk. It's also known as 'jogger's heel'. It is common problem 1 in a 10 people facing this condition.



What is the Causes of Plantar Fasciitis?
If tension and stress on your planter fascia of your foot become too great, small tears can occur in the fascia. Repeated stretching and tearing can irritate or inflame the fascia, although the cause remains unclear in many cases of plantar fasciitis
  • If you are on your feet a lot of the time, or waking, standing continuously, running, etc., when you are not used to it then it may you have small injuries to the fascia
  • If you have recently started exercising on a different surface - for example, running on the road instead of a track.
  • If you wearing shoes with hard soul and discomfort
  • Excess pound put extra stress on plantar fascia
  • Plantar fasciitis is most common between the ages of 40 and 60.
  • Flat feet, a high arch or even an abnormal pattern of walking can affect the way weight is distributed when you're standing and can put added stress on the plantar fascia.
  • Factory workers, teachers and others who spend most of their work hours walking or standing on hard surfaces can damage the plantar fascia.
  • If there is overuse or sudden stretching of your sole. For example - athletes who increase running intensity or distance; poor technique starting 'off the blocks', etc.
Ignoring plantar fasciitis may result in chronic heel pain that hinders your regular activities. Changing the way you walk as a way to relieve plantar fasciitis pain might lead to foot, knee, hip or back problems.

Symptom of Plantar Fasciitis
Pain is the main symptom it happens in the bottom of your feet near the heel or it can be anywhere on the underside of your heel However, commonly, one particular area is found as the main source of pain. You can imagine how the inflamed plantar fascia can hurt when you put pressure on the foot while walking. The pain is often worst when you take your first steps on getting up in the morning, or after long periods of rest where no weight is placed on your foot. Often, it's described as a stabbing or aching pain. . However, a long walk or being on your feet for a long time often makes the pain worse and itís getting you in trouble of daily activity. In more severe cases, the pain will also worsen toward the end of the day.

Diagnose of Plantar Fasciitis
Your doctor will assess your symptoms and examining your feet. You may also get X-rays of the heel to check for arthritis, bone, fractures, bone alignment and joint damage. Rarely, you may need an MRI or ultrasound. This can show soft tissue are thickening and swelling problems.

Treatment for Plantar fasciitis
Plantar fasciitis is the condition in which most of the patient recover by itself with some home remedies and by changing in lifestyle, to reduce the pain try this some self-care tips:
  • Apply ice one your painful area of heel with the ice bottle wrap with thin towel or cloth so it canít damage your skin, for two to three times a daily. Icing can reduce pain and your inflammation of heels
  • Take some rest till your pain gone, take some leave from your workplace, I know its not possible for some people but short term rest is better than long term pain
  • Sometime your weight is responsible for pain, so maintain a healthy weight its put extra stress on your plantar fascia
  • Athletes may change your shoes before its damage your feet, after wearing everyday your shoes stop cushioning and supporting your feet
  • Stretch your arches with some home exercise, it may stretch your plantar fascia, calf muscles and Achilles tendon
  • Donít walk barefoot, use good arch support shoes, thick and cushioning sole shoes.

If home remedies not work then your therapist should advice you these steps:
  • A therapist teach you some specific stretching exercise for strengthen your plantar fascia, Achilles tendon or your foot muscles.
  • A therapist also apply to your feet athletic taping to support the bottom of your foot.
  • Night splint are recommend by your doctor to wear at night time which stretch your plantar facia, calf muscle and arch back to normal position
  • Orthotics means a custom-fitted arch supports are recommend by your doctor which support your feet and absorb pressure more evenly

After a several months if these conservative measure are not working, your doctor recommend:
  • You need to take steroid injection on the painful areas its can only temporary pain relief. More dose of steroid is not good for your plantar fascia, it can be rupture your muscles. your own platelet-rich plasma is taken into your body and inject into your injured part for healing tissue
  • Extracorporeal shock wave therapy is a procedure in which patient have to take sound waves on area of heel pain for healing tissue.
  • Surgery is option when nothing is working on your heal pain when your pain is severe, In this process to detach the plantar fascia to the heel bone, it is the open surgery with small incision given local anesthesia to the patient


Plantar fasciitis Medication
Nonsteroidal anti- inflammatory drugs are the drugs can relieve pain in a short term.
  • Ibuprofen- Advil, Morin, Nuprin
    Amount: 200mg, 300mg, 400mg
    Dose: 1 **** every 4 to 6 hours
    Max Daily limit: 1200 mg
  • Naproxen sodium- Alive, Naprosyn
    Amount: 220mg
    Dose: 1 **** every 8 to 12 hours
    Max daily limit: 440 mg


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Note: This is for education purpose only, all the medication should be taken under the prescription of Doctor only.