Tuesday, September 15, 2009

Causes And Treatment Of Plantar Fasciitis

By Allan Tan

The fibrous, thick, white connective tissue at the bottom of the foot is called the plantar fascia. The plantar fascia is the ligament that connects the heel and forefoot.

The condition in which the plantar fascia becomes inflamed is known as plantar fasciitis. The body exerts pressure on the plantar fascia with each step. Plantar fasciitis can be caused by overuse, injury, having high arches, or flatfootedness, also called overpronation.

Since plantar fasciitis can be caused by overuse, people who do excessive amounts of running, walking, or standing are prone to this condition. People who walk or stand for their occupations are susceptible to plantar fasciitis. For this reason, plantar fasciitis used to be called policemen's heel.

Plantar fasciitis causes discomfort or slight pain at the heel called a stone bruise. Plantar fasciitis often gets worse if left untreated.

Gradually, the pain may worsen without treatment. The worst pain is often felt with the first steps in the morning. If the person neglects to get treatment for the plantar fasciitis, the plantar fasciitis can cause a tear in the ligament.

Plantar fasciitis can cause heel spurs. The inflammation of the plantar fascia can cause part of the ligament pull away from the heel which causes calcium deposits to form. These calcium deposits form bony, hook-like projections known as heel spurs.

Plantar fasciitis and possible complications of plantar fasciitis can be caused by certain medical conditions. Arthritis and diabetes can cause problems with plantar fasciitis.

Men have less risk of developing plantar fasciitis. The reason for this is thought to be the additional support that many styles of men's shoes have compared to women's shoes. Wearing supportive shoes helps prevent plantar fasciitis.

Treatment for plantar fasciitis can include rest and special exercises to stretch the plantar fascia. The physician may prescribe the use of orthotics during the day and night splints to be worn overnight. Orthotics provide support to the plantar fascia, while night splints gently stretch the plantar fascia.

People with plantar fasciitis should avoid walking barefoot as this puts more stress on the plantar fascia. The doctor may recommend the use of the ice packs and over-the-counter pain relievers when the condition is painful.

There is a surgical treatment method called a plantar fascia release, but it is rarely done because they can cause serious complications. One such complication is fallen arches. This surgery is only performed if all noninvasive treatment methods fail to provide relief.

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