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Plantar Fasciitis
Janet M. Torpy, MD, Writer; Cassio Lynm, MA, Illustrator; Richard M. Glass, MD, Editor
JAMA. 2003;290(11):1542. doi:10.1001/jama.290.11.1444.

Heel pain is a common complaint that has many causes. Heel pain may result from inflammation of the tissue on the bottom of the foot. This is called plantar fasciitis

The plantar (foot) fascia (connective tissue) stretches under the skin across the arch of the foot from the heel to the base of the toes. When this tissue is torn, overused,or improperly stretched, it can become inflamed (fasciitis). Soreness, tenderness, and pain result. Persons who are overweight, female, or older than 40 years or who spendlong hours on their feet are especially at risk of developing plantar fasciitis. Athletes, especially joggers and runners, may develop plantar fasciitis.

Sometimes plantar fasciitis can be associated with heel spurs. These spurs are outgrowths of bone on the calcaneus (heel bone). They are sometimes painful and may occasionally require surgical treatment.




SYMPTOMS OF PLANTAR FASCIITIS


  • Heel pain, especially in the early morning or after aperiod of rest

  • Increasing pain with standing

  • Pain in the heel after exercising



  • TREATMENTS FOR PLANTAR FASCIITIS

  • Rest

  • Arch supports (sometimes called orthotics) to be worn in shoes

  • Stretching the calf muscles and Achilles tendon

  • Ice packs


  • Nonsteroidal anti-inflammatory drugs (NSAIDs) such asibuprofen or naproxen


  • Reducing excess body weight


  • Corticosteroid injections may be used in select cases


  • Surgery may be helpful if other treatments are not successful


  • OTHER CAUSES OF HEEL PAIN


    It is important to understand that all heel pain is not from plantar fasciitis. Other medical problems can cause foot and heel pain. Diabetes and blood vessel disease, both serious medical problems, can cause heel pain. Arthritis, traumatic injury and bruising, gout, stress fractures (caused by repeated stress on bone),and other diseases can also cause heel pain. Rarely, tumors (either benignor cancerous) or infections can cause heel pain. If you develop persisting heel pain, see your doctor for an evaluation

    FOR MORE INFORMATION


  • American Academy of Physical Medicine and Rehabilitation

  • 312/464-9700
    http://www.apmr.org

  • American Academy of Orthopaedic Surgeons

  • 800/346-AAOS
    http://www.aaos.org

  • American College of Foot and Ankle Surgeons

  • 800/421-2237
    http://www.acfas.org

  • American Podiatric Medical Association

  • 800/ASK-APMA
    http://www.apma.org

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