plantar fasciitis


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plantar fasciitis

inflammation of the plantar fascia, most usually noninfectious, and often caused by an overuse mechanism; elicits foot and heel pain.
Synonym(s): plantar tendinitis

plantar fasciitis

n.
Inflammation of the band of connective tissue on the sole of the foot, characterized by pain in the heel when walking.

plantar fasciitis

Heel spur syndrome Orthopedics The most common cause of inferior heel pain, usually of the medial aspect of the plantar fascia as it attaches to the inferior medical calcaneal tuberosity; the pain is usually worse in the morning and persists as a dull, toothache-like pain, exacerbated by ↑ activity, lasting up to 6-12 months; the medial insertion of the plantar fascia on the calcaneus may be tender; extension of the great toe can cause Sx; cavus feet or pronation on gait may be evident on exam Management Cross-friction ice massage, arch exercises, stretches, heel cups, NSAIDs, arch pads/orthotics, night splints, physical therapy

plan·tar fas·ci·i·tis

(plan'tahr fash'ē-ī'tis)
Damage and/or inflammation of the fascia of the plantar surface of the foot, usually at the calcaneal attachment.

plantar fasciitis

An inflammatory disorder of the strong sheet of white fibres under the shin of the sole of the foot that helps to maintain the longitudinal arch. Plantar fasciitis may be caused by unaccustomed athletic activity, sudden weigh gain or unsuitable footwear. It is the commonest cause of pain under the heel but will usually resolve without treatment.

Patient discussion about plantar fasciitis

Q. Can anyone suggest a treatment for plantar fasciitis, apart from ultrasound, physio, anti-inflammatory agents? My friend has had Plantar Fasciitis for more than 1 year and has persevered with all the ususal treatments above plus lots of rest from weight-bearing and elevation.

A. Padded foot splints, silicone heels insert and special shoes (e.g. arch-supporting shoes) may also help. These are usually sold and fitted by a professional. Exercise is another important measure. Some patients benefit from avoiding walking barefoot or in sleepers but rather using shoes from the first step.

More advanced treatments include steroid-local anesthetics injections, botulinum toxin (similar to botox) injections and surgery.

The prognosis is usually favorable, and most patients achieve relief of the pain.

However, all of the above is just for general knowledge - if you have any specific question, you may want to consult a doctor.

You may read more here:
www.nlm.nih.gov/medlineplus/ency/article/007021.htm

Q. Is there any good source for heel pain relief, besides NSAIDs? My heel pain is most severe at night when I sleep. It's as if the way I position my feet worsen the condition, but I'm at a loss to know how to position my feet. During the day my heels feel so but don't typically bother me.

A. I have found that keeping my feet flexed (the position they are in when standing) helps ease the pain of plantar facitis. I also don't let my feet get cold(wear socks)and keep heavy blankets and quilts off the feet. Placing a box under the covers at the foot of the bed will help keep the blankets up. Do try the exercises recommended on the above web sites. It usually resolves in about 6 months. Best wishes!

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References in periodicals archive ?
Conclusion: Extracorporeal shock wave therapy is a new modality providing good pain relief and a satisfactory clinical outcome in patients with chronic plantar fasciitis.
Ballet flats and other shoes with little padding can also cause plantar fasciitis because the lack of proper cushioning can inflame the balls of your feet.
Current conventional treatments for plantar fasciitis include rest, nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, stretch exercise, and steroid injection.
The clinical study participants had on average, experienced chronic plantar fasciitis symptoms for close to 2.5 years.
Plain films lack the sensitivity to detect plantar fasciitis. While a plantar calcaneal spur is often seen on radiography, it does not confirm the diagnosis, correlate with severity of symptoms, or predict prognosis.
Plantar fasciitis occurs when you've overused your arch tendon after long periods of weight bearing.
* Standing for a long period of time, plantar fasciitis being also called the "policeman's heel";
This damage causes the plantar fascia to thicken and become painful - called plantar fasciitis - especially when any pressure is placed upon the heel.
Achilles tendinopathy, usually insertional, was the most frequent observation (n = 14), followed by plantar fasciitis (n = 7), bone edema (n = 2), and calcaneal cuboid joint degeneration (n = 2).
He missed all but four games last season with plantar fasciitis.
A Plantar fasciitis causes pain on the sole of the foot, usually under the heel.
In a preliminary study of 44 patients not helped by conventional therapies for plantar fasciitis, doctors report that all but two were pain-free within two or three weeks of a procedure called dry-needling followed by a steroid shot.