Plantar fasciitis Diagnosis and treatment


After prolonged activity, the pain can flare up due to increased irritation or inflammation. People with plantar fasciitis don’t usually feel pain during the activity, but rather just after stopping. Plantar fasciitis is diagnosed based on your medical history and physical exam. During the exam, your health care professional will check for areas of tenderness in your foot. The location of your pain can help determine its cause.

Swimming and other low-impact activities can let you exercise without worsening your heel pain. Plantar fasciitis is an inflammation of the fibrous tissue (plantar fascia) via along the bottom of your foot that connects your heel bone to your toes. According to Harvard Medical School, most plantar fasciitis improves with home-based treatments.


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If your pain doesn’t improve, a doctor can offer more guidance. Sometimes an X-ray shows a piece of bone sticking out from the heel bone. In the past, these bone spurs were often blamed for heel pain and removed surgically. But many people who have bone spurs on their heels have no his response heel pain. If you have been suffering from plantar fasciitis for more than 3-12 months, consider more aggressive measures if home remedies have not worked. Additional treatments like steroid injections, extracorporeal shock wave therapy (ESWT), and even surgery are possibilities.

Tension and stress on the fascia can cause small tears. Repeated stretching and tearing of the facia can irritate or inflame it, although the cause remains unclear in many cases of plantar fasciitis. Plantar fasciitis typically causes a stabbing pain in the bottom of your foot near the heel. The pain is usually the worst with the first few steps after awakening, although it also can be triggered by long periods of standing or when you get up from sitting. It is more common in runners and in people who are overweight.

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During a flare, staying off your feet as much as possible is important. Plantar fasciitis can typically take anywhere from 3-12 months to get better. But how fast you heal depends on your level of activity and how these details consistently you’re using at-home treatments. With each step you take, your heel pounds the ground and puts tension on your plantar fascia. They raise your heel to relieve tension and give you extra cushion.

Gastrocnemius recession surgery can also cause nerve damage. Your doctor may use an ultrasound image to help determine the best place for the injection. Meanwhile, research suggests that an MRI can provide evidence of any thickening of the plantar fascia or swelling in the tissues. Sign up for free and stay up to date on research advancements, health tips, current health topics, and expertise on managing health. Rachel MacPherson is a health writer, certified personal trainer, certified strength and conditioning specialist, and exercise nutrition coach based in Halifax.

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