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PLANTER FASCIITIS
The plantar fascia is a tough fibrous ligament on the sole of the foot that extends from the heel to the toes and acts to maintain the arch of the foot. Plantar Fasciitis is inflammation or overuse of this ligament.
The Problem
The most common symptom is pain at the origin of the plantar fascia on the heel bone when weight bearing. It is especially worse with the first few steps in the morning or at the beginning of sporting activity, and eases with rest. There is marked tenderness over the area and sometimes swelling.
Causes
Excessive pronation (rolling in of the feet) places significant strain on the arch of the foot and leads to inflammation of the planter fascia and surrounding tissues. Tight calves and foot muscles will also contribute. In chronic cases there may be the development of a spur – a bony growth on the calcaneum.
Treatment
- Rest and ice
- Physiotherapy / massage
- Assessment and correction of any underlying biomechanical causes eg excessive pronation. This may involve the use of taping and arch supports.
- Ultrasound/Electrotherapy
- Exercises and Stretches
- Cortisone Injections
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