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Plantar fasciitis


Plantar fasciitis describes foot pain caused by inflammation of the plantar fascia. The plantar fascia is a strong fibrous ligament in the sole of the foot that gives the arch of the foot its shape. The pain associated with plantar fasciitis presents as heel pain or arch pain, or a combination of the two.

The podiatrists at Manchester Podiatry are university trained in the diagnosis and treatment of a variety of foot and lower limb pathologies. Our podiatrists can help you if you have plantar fasciitis by offering you a treatment plan designed to improve any painful symptoms, as well as to improve the function of your leg and foot so that plantar fasciitis does not reoccur.

What causes plantar fasciitis?



Plantar fasciitis has a number of causes, the most common being overloading of the plantar fascia. Overloading of the plantar fascia may be the result of the following:
  • Obesity
  • Unstable footwear (shoes that have no support)
  • Standing for long periods
  • Tight calf muscles
  • Flat feet and over-pronation
  • High arches

Podiatry treatment for plantar fasciitis



At Manchester Podiatry the one or a combination of the following treatments may be recommended if you have plantar fasciitis:

Orthoses (shoe inserts)
Orthoses will be recommended if over-pronation or 'flattening' of the foot is contributing to your painful symptoms. The purpose of orthoses for plantar fasciitis is to control the foot, taking the tension off of the plantar fascia and reducing any painful symptoms. Orthoses for plantar fasciitis therefore aim to improve overall lower limb function and reduce pain.

Silicone heel cups
Silicone heel cups help to reduce pressure and absorb shock at the heel, which is where the pain of plantar fasciitis is felt. Silicone heel cups also lift the heel slightly, which gives the foot more of an arch, taking the tension off of the plantar fascia.

Footwear advice
Incorrect footwear can make the symptoms of plantar fasciitis worse. It is important that the correct footwear is worn in order to get the greatest benefit from other treatments, as well as to improve the symptoms of plantar fasciitis. The podiatrists at Manchester Podiatry will perform a footwear assessment and will provide you with information and advice on the footwear most suitable for you.

Steroid injection
Steroid injections may be prescribed at Manchester Podiatry when other treatment options have failed, or when the pain is severe enough as to stop you from performing everyday activities. Steroid injections help to eliminate the pain associated with plantar fasciitis by reducing inflammation. Inflammation is the cause of painful symptoms in plantar fasciitis. All steroid injections are subject to a thorough assessment.

Stretching
Stetching the muscles at the back of the leg may be prescribed if these are tight. The podiatrists at Manchester Podiatry will assess the muscles in the back of the leg to see if this is the case. The muscles at the back of the leg are responsible for lifting the ankle upwards, when these muscles are tight the body has to compensate to get this movement elsewhere. The compensatory movement causes the foot to flatten. By stretching the muscles at the back of the leg and allowing the ankle to do its job, symptoms of plantar fasciitis can be eliminated.

Ultrasound
If you have plantar fasciitis ultrasound may be offered to promote healing and reduce inflammation. Ultrasound works by using sound waves, which are able to penetrate tissues, stimulating the healing of muscles, tendons and ligaments.

Injection therapy for plantar fasciitis



Plantar fasciitis is caused by inflammation of the plantar fascia, the result of which is pain. A steroid injection has the power to reduce inflammation, as a result any pain experienced because of inflammation will decrease. Steroid injection therapy for plantar fasciitis will therefore reduce inflammation and reduce your painful symptoms.

At Manchester Podiatry a steroid injection may be recommended if and when other treatment options have failed to reduce the painful symptoms associated with plantar fasciitis. All steroid injections are subject to a thorough assessment.

What should I do if I have plantar fasciitis?



If you have plantar fasciitis, visit us at Manchester Podiatry where our skilled podiatrists will assess your foot and lower limb. Our podiatrists will then devise a treatment plan specific to you, one that will aim to reduce any painful symptoms that you are experiencing as well as improve the overall function of your foot and lower limb.


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