Most common symptom of PF is a heel pain. Pain on the inside of the heel pain is more common than pain in the middle of the heel. The classic symptom of PF is a strong heel pain upon standing on to the feet first time in the morning. As the day goes by the pain usually improves somewhat. Then it becomes worst again in the evening.
Most common cause of PF is excessive tensile load applied to plantar fascia. This excessive tensile loads are either due to excessive physical activities such as the case with runners and athletes which jump. Another type of overloading is excessive chronic tensile load which is a result of poor biomechanics or foot deformities.
We have developed a very comprehensive treatment approach for plantar fasciitis and different heel pain disorders. We use diagnostic ultrasonography imaging for foot and ankle disorders. We use gait and pressure analysis to look at step by step analysis of forces acting on the foot as well as joint mechanics and motor control. We use Computer Assisted Rehabilitation Environment (CAREN) dual force plate analysis and feedback treatment for heel pain which is caused by weight bearing asymmetry and pelvic/hip misalignment dysfunction. Most importantly we combine our functional foot physical therapy with Extracorporeal Shockwave therapy. Over the past 10 years we have successfully treated over a thousand patients with various forms of heel pain.
The most common symptom of PF is heel pain, most often along the inside of the heel. Pain is most pronounced upon waking in the morning, and may subside during the day, flaring up again toward evening.
PF is an overuse syndrome resulting from overloading of the plantar fascia, the tough band of connective tissue that spans the bottom of the foot, connecting the heel to the toes. Overload can arise from sports and physical activity, or it can result from long bouts of standing or walking. PF overload is also associated with faulty gait mechanics and muscle imbalances. Poor fitting or non-supportive footwear can increase the risk of PF.
A medical history and physical exam are often the primary diagnostic tools in cases of PF, but heel pain can arise from other sources, including fractures, Achilles tendinitis, tarsal tunnel syndrome and other less common conditions. Real-time dynamic diagnostic ultrasound can help rule out other causes of heel pain and confirm a diagnosis of PF.
Traditional treatments for PF often fail to relieve symptoms, and many are deemed ineffective, yet they continue to be used in many clinical settings:
More effective treatment options are available:
At NYDNR, we have developed a very comprehensive treatment approach to plantar fasciopathy and other heel pain disorders. Some of our treatment methods include:
For more than a decade, the foot pain specialists at NYDNR have treated more than a thousand patients suffering from various forms of heel pain.