Plantar fasciitis is a common cause for pain underneath the heal. The pain originates from the so-called plantar fascia, a strong band of tissue that supports the arch of the foot and connects the heel with the toes.
The pain from plantar fasciitis can be quite debilitating and can cause a limp as a result. The pain is often strong first thing in the morning. Walking, stairclimbing and prolonged standing can aggravate the pain.
Plantar fasciitis is caused by repetitive strain and results in micro tearing of the tendon. This eventually results in swelling and pain. Contributing factors can be high arches or flat feet, walking with the foot rolled inwards (pronation), high weight, poorly fitting shoes and prolonged walking/standing, especially on hard surfaces, muscle tightness in the calf, muscle imbalances and recent increases in exercise levels.
Treatment typically consists of rest, ice and physiotherapy with stretching and strengthening exercises. Adequate shoe wear can be important, and some patients benefit from supportive insoles. Injection treatment with PRP can be beneficial for patients who have tried non-operative treatment without success.
There are different ways of treating plantar fasciitis and our experts at the Orthobiologics Clinic are happy to advise you on the most suitable option dependent on your individual presentation.