Foot & Ankle Center of Arizona

Plantar fasciitis is a very common problem with the foot that entails a lot of pain and discomfort. It can be very disabling and create numerous problems in your daily life. Characterized by pain as well as inflammation in the heel area, understanding the causes of plantar fasciitis is very vital in the management and prevention of this disorder. In this detailed guide, let us look into the various reasons, risk factors, preventive measures, and modes of treatment for plantar fasciitis.

What Causes Plantar Fasciitis

What is Plantar Fasciitis?

Plantar fasciitis translates to inflammation of the plantar fascia, which is the thick tissue band running the length of the bottom of your foot, connecting the heel to the toes. This plantar fascia helps support the foot’s arch and is also involved in the absorption of shocks that occur while walking. However, when this thick tissue band is excessively strained or overused, the band may get inflamed and cause pain.

Plantar fasciitis pain is typically sharp and stabbing and is much more pronounced in the first initial steps of the morning and after prolonged sitting. Pain presentation is typically maximal at initial weight-bearing and first steps, but may somewhat diminish after 2-3 repetitions of steps. It often returns after a prolonged standing or after athletic activity is used. If such an injury is untreated, it eventually results in chronic pain, greatly interfering with your ability to carry out your day-to-day activities. Classic symptoms of plantar fasciitis are:

Common Causes of Plantar Fasciitis

Overuse and Repetitive Stress 

Overuse and repetitive stress are common sources of plantar fasciitis. Any activities that involve standing, walking, or running for a long time may place added stress on the plantar fascia. For example, jobs that involve standing for a long time or high-impact sports like running and jumping are major contributors to the development of this condition.

With repetitive stress, there is some potential for small tears and inflammation in the plantar fascia. These small injuries to the tissues provoke pain, bluish discoloration, and discomfort, which may arise with the Continuation of activity. Proper rest combined with low-impact exercises may help reduce the possibility of overuse leading to plantar fasciitis.

Foot Mechanics and Structure

Abnormalities in the mechanics or structure of the foot are a leading risk factor for plantar fasciitis. An instance of such is that it is found commonly in people with either flat feet or high arches because of continuous strains and stresses that may end up overstretching the plantar fascia under the foot in flat feet or creating more pressure in high arches at the heel.

Abnormal gait patterns, like overpronation or supination—generally, rolling to either side while walking or running—also create additional strain on the plantar fascia. Lower limb biomechanics should be properly assessed by a podiatrist specialist to determine underlying structural faults that may predispose one to plantar fasciitis and to provide an appropriate treatment plan.

Improper Footwear

The second most common reason people develop plantar fasciitis is due to wearing the wrong shoes. The wrong shoes can be those with no proper arch support or cushioning, and ones with soles worn down too far in the case of some sandals can be antagonistic to the support of the plantar fascia. High-heeled shoes cannot equally distribute the body weight across the foot, and those with inadequate shock absorption increase stress in the feet.

One can prevent plantar fasciitis by wearing well-fitting, supportive shoes with arch support and cushioning. Shoes that would support one’s foot structure and the demands of their activity can go a long way toward decreasing the likelihood of one’s developing this painful foot condition.

Obesity and Weight Gain

This excess weight or obesity burdens the feet, and this is also how plantar fasciitis can occur. Excessive weight increases the load on the plantar fascia, causing inflammation and tenderness in the tissue. Fast food and an inactive lifestyle do not support the right weight, so a balanced diet and basic exercising play a very important role in trying to lower the risk of plantar fasciitis.

Keeping a healthy weight helps not only your feet but also your whole body. A mix of low-impact exercises such as cycling, swimming, or using an elliptical machine can help keep the weight under control. With normal body mass, extra pressure on the soles will be avoided, thus avoiding shock development in the heels. Avoid activities with high impacts on the feet to reduce the chance of plantar fasciitis.

Age and Physical Activity

The potential influences of age and changes in the levels of physical activity predispose one to the development of plantar fasciitis. For example, at an older age, the foot can easily lose elasticity, predisposing it to a potential injury. There is also a rapid increase in the level of physical activity, or it could be caused by a sudden increase in engaging in high-impact activities without proper conditioning, which could cause strain on the plantar fascia.

Gradually increase the intensity of exercise, incorporate warm-up and cool-down activities in your exercise program, and prevent straining. Ensuring flexibility and maintaining the plantar fascia flexible through routine stretching and strength training will thus reduce the likelihood of it getting injured.

Risk Factors of Plantar Fasciitis

Sedentary lifestyle vs. High-impact activities: 

Weak foot muscles can predispose a sedentary individual to injury when the person eventually engages in high-impact activities. Very active individuals are risked with high-impact sports without the proper conditioning.

Specific Sports or Exercises:

Running, dancing, or any other kind of high-impact sport where there is a good degree of jumping and short. Successive direction changes tend to put excessive loading on the feet. Good technique and supportive shoes can minimize the risk, though.

Occupational Risks: 

Allowing anybody to stand on their feet all day long or walk, such as in healthcare, retail, or teaching, may also increase the likelihood of getting plantar fasciitis. Rest breaks and ergonomic squeezes from the shoe, again with supportive shoes, will help.

Demographics: 

Plantar fasciitis is more common in adults, particularly in those from the ages of 40 to 60 years. The condition can also be experienced by women more than men. Because of demographic risks, the problem can be detected at an earlier stage and avoided in the process.

Preventing Plantar Fasciitis

Since plantar fasciitis tends to develop due to a combination of factors, the measures to prevent the condition entail the following:

Wearing supportive shoes

One should invest in shoes that have correct arch support and better cushioning to prevent plantar fasciitis. Look for shoes that give adequate shock absorption with features to support the natural foot alignment. Avoid high heels or shoes with no kind of supporting features.

Stretching and Strengthening Exercises

Stretching exercises to maintain the flexibility and strength of the plantar fascia and the surrounding structures can help reduce that from happening. The following exercises are very helpful.

Calf Stretches: 

Since the tightness of the calf muscles can cause increased tension on the plantar fascia. Stretching to lengthen the calf will decrease the tension on the plantar fascia.

Plantar Fascia Stretch: 

A mild plantar fascia stretch can reduce both pain and inflammation.

Foot Strengthening Exercises: 

Build up the muscles in the feet and legs to contribute to overall foot function and to reduce stress.

To develop a customized program to most effectively address your needs, consult a physical therapist or fitness professional.

Weight Management

Normal weight management is important for the elimination of stress on the feet. A well-balanced diet combined with physiologic physical exercises can maintain body weight by way of ensuring physiological body-healthy fitness. Involve low-impact exercises, such as swimming or cycling, to avoid excessive commotion on the feet but still keep the individual active. Safe Physical Activities

Gradual increase in levels of physical activity but avoid radical and vigorous exercises. Warm-up and cool-down exercises are essential to prevent the injury, and the body should not be overexerted. Such practices may be favorable to the avoidance of developing plantar fasciitis.

Treatment of Plantar Fasciitis

If you have a perfect idea that the sharp pain in your heel is caused by plantar fasciitis there are several measures to decrease the severity of your pain and initiate the healing process.

Non-Operative Treatment

The initial treatment is conservative in plantar fasciitis. Rest to the foot, application of ice, and use of anti-inflammatory NSAIDs are three simple measures for pain and inflammation reduction. These pain-relieving measures are most often short-term and typically recommended in the early phase of treatment.

Physical Therapy

An individualized stretching and strengthening exercise program that is designed to address the patient’s condition. Physical therapy for plantar fasciitis can involve any combination of the following:

Custom orthotic inserts can also be placed within, to add more support to the arches and cushioning of the foot. Thereby reducing the stress on the plantar fascia. Such devices are customized to your unique structures of the foot and in some cases may assist in correcting any abnormal walking patterns.

Medical Interventions

In some instances, more intensive medical treatments are given, including corticosteroid injections to reduce inflammation, thus temporarily relieving the patient. Another option for chronic plantar fasciitis is shockwave therapy delivered either using sound waves or energy to effect some type of healing. These options are usually only considered if conservative measures have failed to help.

Plantar fasciitis very seldom requires surgery. Surgical treatments are associated with patients who successfully tried conservative treatments. Less intrusive measures usually are performed first to see if they give patients relief from their symptoms.

Surgery can be the release of tight or shortened portions of the plantar fascia or the removal of damaged tissue. Ask a specialist if surgical remedies are in your patient’s best interest.

Conclusion

An important aspect of effectively managing and preventing this painful health condition is understanding what can cause plantar fasciitis. Develop an awareness of what puts you at risk for plantar fasciitis by understanding overuse, abnormal foot mechanics, unsupportive footwear, and obesity. Some prevention measures include appropriate supportive shoes, regular stretches, appropriate strengthening exercises for the feet, weight management, and safe physical activities.

If you experience any or all of the above symptoms, consult a professional immediately and seek proper treatment for plantar fasciitis. Timely intervention and adequate care will decrease your pain levels and allow you to start daily activities more comfortably. Take care and protect your feet so you can prevent suffering from plantar fasciitis.