Plantar fasciitis, also known as sole inflammation, is one of the most common causes of heel and sole pain. The plantar fascia is a thick connective tissue that extends from the calcaneus to the heel bone on the sole of the foot. This bond inflammation ( inflammation ) is called plantar fasciitis.
When heel pain is mentioned, heel spur (calcaneal spur) usually comes to mind first . A heel spur is a thorn-like bony protrusion that occurs on the calcaneus bone where the plantar fascia attaches. In fact, most people with heel pain do not show heel spurs on X-ray. The cause of pain may be plantar fasciitis, which does not show direct signs on X-ray.
Plantar fasciitis manifests itself with stinging pain in the heel when standing up for the first time in the morning. The pain lessens as you move a little. But if you stand for a long time, it can increase again. It is a more common problem in runners, overweight people, and those who wear inappropriate shoes.
Inflammation of the sole of the foot, plantar fasciitis causes stinging pain in the sole near the heel. Pain is usually present with the first step in the morning. It decreases with movement. However, when sitting for a while, then standing up again and standing for a long time, the pain may increase again. The worst time is usually after exercise, not during exercise. Raising on tiptoe can be painful. There may be swelling and stiffness in the heel.
Why Does It Happen?
The plantar fascia acts as a shock-absorbing beam under our feet, supporting the arch of the foot. If this beam is subjected to excessive force and tension, small tears occur in the connective tissue. Repetitive stress and tears cause damage to the connective tissue. The body’s immune system displays an inflammatory response to tissue damage. Although the formation of footpad inflammation is usually like this, the cause may not always be understood.
Who Is It Seen?
In a person with plantar fasciitis, an inflammation of the soles of the feet, no cause can sometimes be identified. However, it is known that there are certain risk factors that pave the way for the emergence of this problem. It is a problem that is most common between the ages of 40-60. Activities such as long-distance running, jumping sports, ballet, aerobic dance that put too much stress on the heel and plantar fascia can cause plantar fasciitis. Flat feet or high arch of the foot, short and tight calf muscles, abnormal gait, obesity are other risk factors. It is also common in people who work standing up, such as teachers and factory workers.
If you have sole and heel pain, you can be examined by a physical therapy and rehabilitation (FTR) doctor. The doctor can diagnose plantar fasciitis by questioning your complaints and by physical examination. Investigations such as X-ray can be done to exclude other possible causes.
Inflammation of the sole of the foot can turn into chronic heel pain if plantar fasciitis is neglected. If it is expected to go away on its own, the process takes an average of 6 to 18 months. Complaints may increase or decrease. Changing the way a person walks due to heel pain can cause additional problems in the feet, knees, hips and waist.
People with plantar fasciitis should not wear flip-flops and should not walk barefoot on hard floors. Avoid standing and walking for too long. It is also wrong to choose high-heeled and pointed-toed shoes.
Plantar fasciitis, which causes heel and sole pain, can be healed with physical therapy.
Foot stretching and strengthening exercises are the first recommended method in treatment. Stretching the foot muscles and ligaments, strengthening the muscles can reduce pain and other complaints. Leg and foot stretches can reduce the loads on the plantar fascia. Spinning a small ball or water bottle on the sole of the foot, cold application, contrast bath , massage are other simple home remedies. Pain medications can be prescribed by the doctor to reduce both pain and inflammation. The use of insoles that support the arch of the foot may be helpful. It is recommended to wear shoes with low heels and soft soles. Cortisone injections , ESWTand other physical therapy methods can also be used. If all these methods fail, the option of surgery may come to the fore in a small number of patients. During surgery, tension can be reduced by separating the plantar fascia from the heel.