What is Plantar Fasciitis and Bone Spurs?

  • Most common cause of pain on the bottom of the heel
  • Occurs when the Plantar Fascia becomes irritated and inflamed
  • Bone spurs can accompany Plantar Fasciitis

The plantar fascia is a long ligament that runs along the bottom of your foot. It connects your heel to the front of your foot and supports the arch of your foot. No one is certain why Plantar Fasciitis develops, but there are several contributing factors:

  • Obesity
  • Very high arch
  • Continual impact and trauma from running and sports
  • Foot and toe flexibility restricted by tight calf muscles

Many people believe that bone spurs contribute to Plantar Fasciitis pain, however this is not true. In fact, one-tenth of the population has heel spurs, but only half of that group has heel spurs and foot pain. So, Plantar Fasciitis pain can be treated without removing heel spurs.

Our Treatment Approach

Lumin OrthoCARE’s foot specialists have treated thousands of patients suffering from Plantar Fasciitis pain. To determine the best course of treatment, you physician will carefully examine your foot to determine if you have:

  • A high arch
  • Tenderness on the bottom of your foot just in front of your heel bone
  • Pain that gets worse when you flex your foot and the doctor pushes on the plantar fascia
  • Pain that improves when you point your toes does
  • Limited up motion of your ankle

Your physician may order X-rays of the foot to rule out other causes of foot pain such as fractures or arthritis.

Conservative, non-surgical approaches effectively treat nine out of ten patients with Plantar Fasciitis. These include:

  • Reducing activities that aggravate your foot pain and resting your foot as much as possible
  • Periodic application of ice or cold to your foot
  • Over-the-counter non-steroidal anti-inflammatory pain relievers
  • Exercise that stretches tight muscles in your calves and feet
  • Cortisone injections
  • Using a night splint
  • Physical therapy
  • Changing to shoes that provide extra support

When conservative approaches don’t adequately address the problem, surgery may be the best solution:

  • Gastrocnemium recession lengthens one of the calf muscles to reduce stress on the plantar fascia
  • Plantar fascia release where the plantar fascia is partially cut to relieve tension in the tissue.

Both procedures can be performed with minimally invasive techniques or traditional open techniques. Your physician will discuss with you the best surgical technique for your condition.

Causes

No one is sure what causes Plantar Fasciitis pain. However, contributing factors include:

  • Obesity
  • Very high arch
  • Continual impact and trauma from running and sports
  • Foot and toe flexibility restricted by tight calf muscles

Symptoms

  • Pain along the bottom of the foot, especially near the heel
  • Pain with the first few steps after getting out of bed or after a long period of inactivity – the pain subsides after a few minutes of walking
  • Greater pain after exercise or activity

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