Plantar Fasciitis

Plantar Fasciitis

Overview

Plantar fasciitis is a common inflammation of the heel bone. It is a result of a repetitive strain/tear and repair of the fascia from traction that has worn it out. The plantar fascia runs along the length of the sole of the foot and assists in maintaining the inner arch. Like an elastic band left in the sun it can lose its stretch and develop many micro tears.

Heel spurs which form just beneath the plantar fascia, were originally thought to be the cause however it has been proven that they are NOT responsible and therefore don’t need to be removed.  It is possible they form because of the inflammation in the soft tissue.

Initial treatment should include analgesics, anti-inflammatories, massage, the application of ice and exercises that stretch the fascia and strengthen the muscles.  Cushioning heel pads and night splints may also help.  Ultrasound and shock wave therapy and cortisone injections can also be considered.

Process

If surgery is thought necessary it is performed either through an incision on the in-step of the foot.

Recovery Times

Hospital stay Day surgery
Rest & elevation 7 days
Crutches/frame 5-7 days
Foot swelling 4 weeks
Sport 6-12 weeks

Time off work

Seated 1 week
Standing 3-4 weeks

Benefits

  • Less pain
  • Return to sport and every day activities

Risks

Complications are rare with this procedure although as with all surgery there can be a risk of infection, blood clots, nerve injury and a reaction to the anaesthetic.

  • Persistence of pain
  • Discomfort outer part of top of foot

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