Plantar Fasciitis: Symptoms, Pains And Treatments

Plantar fasciitis is one of the most common inflammatory conditions in Quebec. The sharp pain they cause (especially a heel pain) lead many patients to the podiatrist. It is important to understand that plantar fasciitis is an inflammation of the fibrous ligament, called plantar fascia, having as a function the support of the arch of the foot.

To inform us on the subject, Dr. Marilyne Langlois, podiatrist, gives us valuable information on the pain associated with plantar fasciitis. She also explains what are the good treatments to relieve them.

heel pain treatment


What are the symptoms of plantar fasciitis?

The main symptom is a sharp pain in the heel. It is also common to experience pain in the arch of the foot. Plantar fasciitis can also be accompanied by secondary symptoms such as pain behind the heel or Achilles tendon.

When are these pains felt?

They appear especially in the morning, during the first steps then, will diminish or disappear after a few minutes. They can also be felt when the patient gets up after a long period of sitting. It also happens that they occur in sports, during and after the sports activity.

How to quickly relieve the pain caused by plantar fasciitis?

First, a good way to relieve pain is to avoid walking barefoot and not to hesitate to apply ice at the first appearance of pain. Then I also recommend wearing shoes that offer good support and are not too flexible to let the foot sag.

Is a shoe with good support necessarily an orthopedic shoe?

No, not necessarily. A shoe that offers good support is a shoe whose heel is neither too flat nor too high. Shoes such as ballerinas, for example, are to be avoided, as well as shoes with heels too high.

Are some people predisposed to developing plantar fasciitis?

Yes, unfortunately, some patients are at greater risk than others. First, people with flat feet or hollow feet are more vulnerable to this kind of problem. Then there are overweight patients who have gained a lot of weight in a short time. I am obviously thinking of patients with obesity, but also pregnant women. Athletes who use their feet extensively are also at significant risk, especially if they neglect to stretch well before starting training. Finally, but it is more rare, some patients who suffer from inflammatory diseases are likely to develop plantar fasciitis.

Is plantar fasciitis a more recurrent or punctual podiatric condition in a patient?

Generally, as long as the cause of inflammation is not controlled, the problem is expected to return. Most of my patients who suffer from recurrent plantar fasciitis already suffer from poor biomechanical conditions of their feet. However, in some very rare cases, plantar fasciitis can occur in isolation. For example, a patient who overuse his feet (during a move or a particularly intense physical training) may have heel pain due to plantar fasciitis. On the other hand, if it has good foot mechanics, it will disappear by itself.

Can Plantar Fasciitis Be Hereditary?

Yes, as long as one inherits the shape of the foot (for example a flat foot or a hollow foot). Eventually, it is these foot positions that can lead to plantar fasciitis. However, it is possible to inherit the shape of the foot of his parents without suffering the same foot pain.

Is plantar fasciitis a condition that can become permanent?

No, not if you have the right treatment to cure it. When the first heel pain starts, it may be good to do some stretching and apply ice. If it does not work, you must quickly consult a podiatrist.

How can a podiatrist help a patient live better with plantar fasciitis?

Through a comprehensive examination of the biomechanics of the foot, the podiatrist can establish an accurate diagnosis of the causes of inflammation of the fascia and suggest appropriate treatments, including plantar orthotics.

Can an orthosis control pain caused by plantar fasciitis?

Yes, absolutely! The orthosis makes it possible to guide the patient's foot to an optimal position. The pain that is caused by plantar fasciitis can disappear. In addition, the custom orthosis prescribed by a podiatrist has the advantage of offering a natural cure. It helps reduce tension and pain without requiring cortisone injections or taking anti-inflammatory medications.

What is the link between plantar fasciitis and Lenoir's spine?

Lenoir's spine is a small outgrowth of the bone in the area where the plantar fasciitis is located. Concretely, it is a long-term consequence of a constant tension in the plantar fascia. If the microdéchirures of the fascia multiply over the years, this is where the thorn of Lenoir can end up forming.

What is the worst possible scenario for a patient who suffers from plantar fasciitis?

The "disaster scenario" would be the complete rupture of the fascia. However, this is an extremely rare situation. The most frequent consequence, when the patient neglects his treatment, are very intense chronic pain in the heel. He has difficulty walking and this loss of mobility directly affects his quality of life.

How is an examination done to detect plantar fasciitis?

In general heel pain treatment is done in 3 steps. First, the podiatrist asks questions to the patient to describe the symptoms and obtain his personal and family history. Then he feels the structures of his foot. Finally, he examines the biomechanics of the patient's foot to assess his posture and gait. At the end of the examination, the podiatrist establishes a diagnosis and prescribes the necessary treatment to relieve the patient. If this is a problem with the mechanics of the foot, wearing the custom orthosis will be recommended to allow the foot to return to an optimal position.

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