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What is Plantar Fasciiosis (Heel pain) ?
Plantar fasciiosis/ fasciitis is the most common cause of a sore heel
Plantar fasciiosis (Also known as Plantar fasciitis, Heel spurs or “Policeman’s heel” involves pain at the insertion of the plantar fascia on the medial calcaneal tubercle.
When you have this problem you will typically have a sore heel and pain when first getting out of bed which reduces slightly with initial walking and then returns again with extended walking.
Causes of Plantar Fasciiosis
The plantar fascia is a long rope like structure that supports the arch of the foot. Plantar Fasciitis involves chronic degeneration at the insertion of the plantar fascia.
Certain factors are though to increase the risk for the development of plantar fasciitis including:
- Non- Supportive footwear
- Flat arched feet
- High arched feet
- Sudden increase in activity
- Being overweight
- Hormone problems (Reduced Thyroid function, Menopause)
- Connective tissue disorders (Rheumatoid arthritis)
Diagnosis of Plantar Fasciiosis
Diagnosis is generally made with specific signs and symptoms – when the pain occurs and the location.
At the Foot an Ankle Centre we are able to provide additional information about the presence of plantar fasciitis with ultrasound imaging. Typically someone with plantar fasciitis will have a thicker insertion shown in the picture below.
For more ultrasound images click here
|Normal width of the right sided plantar fascia||Thickened left sided plantar fascia|
Treatment of Plantar Fasciiosis
We are able to provide you the latest techniques to reduce the disorganisation of the connective tissue in the plantar fascia and also offload the painful heel.
We are able to provide:
- Shockwave therapy
- Orthotic Offloading
- Ultrasound guided injection therapy
- Stretching regimes
- Home Massage techniques
- Night Splinting
Expert Podiatrists for the treatment of Plantar fasciitis servicing the areas of Northcote, Thornbury, Fitzroy, North Fitzroy, Carlton, North Carlton, Alphington, Fairfield, Brunswick, Coburg and Preston