Plantar Fasciitis

The main cause of plantar fasciitis is repetitive strain on the plantar fascia, which can result from prolonged standing, high-impact activities, or wearing shoes that lack proper arch support. Activities that place a lot of stress on the heel, such as running, dancing, or playing sports on hard surfaces, can contribute to the condition by causing micro-tears in the tissue.
Certain factors increase the risk of developing plantar fasciitis, including being overweight, which places extra stress on the plantar fascia, and having a high or low arch, both of which can lead to improper weight distribution across the foot. Age is also a factor, as plantar fasciitis is more common in middle-aged adults, although it can affect younger people, especially athletes.
Biomechanical issues, such as tight calf muscles or Achilles tendons, can also strain the plantar fascia. Poor posture, abnormal foot alignment, or wearing unsupportive footwear can further exacerbate the risk, making plantar fasciitis a condition influenced by multiple interconnected factors.

Diagnosing plantar fasciitis typically involves a physical examination, where the clinician will assess the foot and heel for tenderness, swelling, and pain when pressure is applied. The specialist may ask about your daily activities, footwear, and any recent changes in physical routine to determine possible causes of the pain. Observing how the patient walks and stands can also provide insights into potential biomechanical factors.
Imaging tests, such as X-rays or ultrasound, are sometimes used to confirm the diagnosis and rule out other conditions. While X-rays do not reveal soft tissue, they can help identify bone spurs near the heel, which may contribute to heel pain. Ultrasound is effective in visualising the plantar fascia, helping to detect signs of thickening or inflammation. In rare cases, an MRI may be used to assess severe or persistent pain and to exclude other potential causes.

Treatment for plantar fasciitis aims to relieve pain, reduce inflammation, and support the healing of the plantar fascia. Initial treatments typically involve rest, ice application, and activity modification to alleviate pain. Avoiding high-impact activities that place stress on the foot, such as running or jumping, can help reduce strain on the plantar fascia.
Physical therapy is an essential part of plantar fasciitis management, focusing on stretching exercises for the Achilles tendon and calf muscles to relieve tension on the plantar fascia. Strengthening exercises for the foot and ankle help improve stability and support, making the foot less susceptible to strain. Orthotic devices, such as arch supports or heel cups, can also be beneficial in providing additional support and cushioning.
In some cases, non-surgical treatments like corticosteroid injections may be recommended to reduce inflammation and provide temporary pain relief. Shockwave therapy, which uses sound waves to stimulate blood flow and promote healing, has proven effective for plantar fasciitis, especially for chronic cases. If conservative treatments do not provide relief, minimally invasive procedures may be considered as a last resort.

Booking an initial consultation at The Clinica is the first step in effectively managing plantar fasciitis. During this appointment, our specialist will conduct a comprehensive assessment, review your medical history, and discuss your symptoms to determine potential contributing factors. A physical examination of the foot will help pinpoint the exact location of pain and evaluate the severity of the condition.
If necessary, imaging tests will be arranged to confirm the diagnosis and assess any structural abnormalities. Based on the findings, a personalised treatment plan will be developed to relieve pain, improve function, and support a full recovery, enabling you to regain mobility and return to your activities comfortably.