Plantar fascitis is characterized by stiffness and inflammation of the main fascia (fibrous connective [ligament-like] tissue) on the bottom of the foot. It is occasionally associated with a bone spur on the heel. Occasionally there may be a partial or complete tear of the fascia of the bottom of the foot. Bone spurs themselves usually do not cause symptoms.
Common Signs and Symptoms
•Pain in the sole of the foot, mostly under the heel bone, with standing or walking
•Noticeable pain with the first steps getting out of bed in the morning or after sitting
Causes of Plantar Fascitis
•Stress or injury to the heel tissues leading to inflammation and calcification of the fascia of the foot
•Irritation of a small nerve that runs under the foot where the main fascia attaches to the heel bone
•Tight calf muscles or flat feet
•Shoes that are poorly fitted, have inadequate arch supports, or have soles that are too stiff, or have rigid arch supports (orthotics)
•Activities that require sudden turns or stops
Risk Increases With:
•Sports, including running or jogging, and sudden stops or changes in direction
•Prolonged standing
•Poor physical conditioning (strength and flexibility)
•Inadequate warm-up before practice or play
•Obesity
•Flat feet
Preventive Measures:
•Appropriately warm up and stretch before practice or competition
•Maintain calf, ankle, and foot flexibility
•Develop Strength and endurance
•Maintain Ideal body weight
•Avoid activities that put a constant strain on the foot.
•Wear appropriate shoes with a rubber heel cushion and good arches
•Cushioned arch supports
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