Sharp and increasing pain that begins in your heel and radiates toward your foot arch may signal plantar fasciitis, also called plantar fasciopathy, a condition that affects the tough ligamentous band connecting your heel to your toes. The disorder may feel at first like you have a bruise or bone spur in your heel, but the pain will continue to worsen if ignored and left untreated.
Plantar fasciitis is an overuse syndrome, often seen among athletes, but also common in people who spend long hours standing or walking, especially on concrete. Non-supportive or ill-fitting footwear can contribute to plantar fasciitis pain. Being out of shape and carrying excess body weight may make the condition worse.
As with many overuse syndromes, plantar fasciitis symptoms often begin as a minor annoyance that gradually becomes more noticeable, and eventually debilitating.
Common symptoms include:
Plantar fasciitis occurs when the plantar fascia, a thick band of connective tissue that spans the bottom of your foot, becomes injured. Injury often occurs from repetitive overuse, where demands placed on the fibers of the plantar fascia exceed their capacity to withstand them. Micro-tears in the fascia or a full-blown rupture cause pain that worsens over time.
Some causes of plantar fasciitis include:
Diagnosis begins with a patient interview and health history review, followed by a physical exam. Because plantar fasciitis is relatively common, it is easy to overlook other less common potential causes of foot and heel pain. Accurate diagnosis is key to treatment and recovery.
At NYDNR, we use real time diagnostic ultrasonography to confirm diagnosis of plantar fasciitis, and rule out other possible causes of heel pain. Ultrasound enables us to see beneath the skin’s surface, with the foot and heel in motion, to get a real-time dynamic view of the structures of the foot and ankle in action.
If you are suffering plantar fasciitis pain in NYC, the foot pain specialists at NYDNRehab can help. We use innovative treatment methods and state-of-the-art technologies to accelerate healing and increase the strength and integrity of the plantar fascia, to reduce the risk of future injury.
At NYDNR, we provide an individualized plantar fasciitis rehabilitation protocol for each patient, not a one-size-fits-all treatment plan. Contact NYDNR today, and get to the bottom of your foot pain, so you can get back to your active lifestyle.
The plantar fascia begins at the heel bone and runs along the bottom of the foot, forming thick, tendinous sheathes that help to hold the toes in place. Within and surrounding the plantar fascia are small nerves that innervate the foot and register pain in the lower part of the body. This is one of the reasons plantar fasciitis is so painful. The plantar fascia tissue is composed of three sections, of which the middle portion is the largest and most vulnerable. The plantar fascia is instrumental in providing support and shock absorption to the foot, carrying up to 14 percent of the weight supported by the foot.
Plantar fasciitis occurs as a result of exercise or other strenuous activity, which is one reason athletes are so susceptible to it. Patients may develop plantar fasciitis from running and jumping that loosens the plantar fascia. Athletes may also render themselves vulnerable through sudden and drastic changes in their exercise routine because the body has not had sufficient time to adjust to the new pressures it’s undergoing.
Plantar fasciitis treatment includes copious amounts of rest and exercises designed to stretch the calves and plantar fascia. Plantar fasciitis pain physical therapy exercises are designed to disrupt the cycle of pain and inflammation that patients are likely to experience throughout the day. One method of doing this is through morning calf stretches undertaken before getting out of bed, during that moment in the day that is typically most painful for a sufferer of plantar fasciitis. Individuals undergoing plantar fasciitis therapy may also be given shoe inserts, also known as orthotics, to stabilize the feet. Orthotics prevent tearing and inflammation of the plantar fascia by elevating the foot. Elevation prevents excessive pressure from being placed on the plantar fascia.
At NYDNRehab we provide several important options for plantar fasciitis treatment. Technological running and gait analysis uses a treadmill to expose and diagnose abnormalities in a patient’s movement, often before the symptoms of a painful condition even begin to manifest. The runner is placed on a treadmill and markers are affixed to his or her body. These markers send information to a computer that provides real-time feedback. With this information the physician and patient are able to make strategic decisions about the best methods of rehabilitation available. Extracorporeal shockwave therapy (ESWT) has proven effective in relieving inflammatory conditions by treating the tissue surrounding an injury. High-frequency shockwaves are sent through the skin of the plantar fascia, halting the inflammation process. Finally, CAREN is a highly advanced technology that re-trains the patient’s movement through the creation of virtual-reality exercises that can’t be done in a normal clinical environment. Each of these has its place in the treatment of plantar fasciitis, and NYDNRehab offers them.
