There is a long, inelastic band of fibrous tissue that runs along the bottom of your foot called the plantar fascia. It can be found at the base of the arch, and it runs along the bottom of the foot to keep it taught. People with flat feet and high arches put a lot of strain on the plantar fascia, and are more likely to develop a painful condition known as plantar fasciitis.
Plantar fasciitis occurs when the plantar fascia becomes inflamed, creating a painful sensation in the heel. It is a common condition in runners, people with obesity, and people in the military, but it can occur in any person of any age.
Plantar fasciitis is usually at its worst when you take your first steps in the morning. You may experience intense heel pain when you get out of bed or after long periods of sitting. While the pain most commonly occurs in the hell, it can occur anywhere along the plantar fascia.
Pain from plantar fasciitis should reduce the more you move around as the muscle warms up. However, this does not mean that the problem is going away. In fact, plantar fasciitis typically gets worse over time, and even if walking can help reduce the immediate pain from standing, it will eventually flare up again with prolonged periods of standing or walking.
In most cases, plantar fasciitis can be treated with conservative treatments such as stretching, physical therapy, and orthotics. Over-the-counter pain medications such as ibuprofen and naproxen sodium can also be helpful. If left untreated, plantar fasciitis can become a chronic problem that may require more intensive treatment. In these cases, we recommend patients undergo a fasciotomy and surgical tenotomy, also known as the Fast Technique. This surgery will remove the damaged portion of the plantar fascia from the foot.
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