OSNA's Expert Q & A - Plantar Fasciitis

Q:  The bottom of my heel has been aching for almost 2 months.  My friend tells me I probably have plantar fasciitis.  What is plantar fasciitis?
A:  Plantar fasciitis is inflammation of the plantar fascia (the thick tissue spanning from the heel to the base of the toes).  The plantar fascia helps support the arch. When this tissue becomes inflamed, it can be severely painful.  It is especially noticeable when you take those first few steps in the morning or after sitting.  Pain is also common at the end of the day.

Q:  Are certain people more prone to plantar fasciitis?
A:  Plantar fasciitis tends to be more common in people who are overweight, spend a significant amount of time standing or walking, have tight calf musculature, or have very high or low arches. 

Q:  How do I make it go away?          
A:  There is not a magic bullet for making plantar fasciitis go away.  However, there are many non-invasive treatments for plantar fasciitis.  This usually begins with certain stretches, shoe modifications, anti-inflammatory medications, and icing.  If symptoms persist, the use of night splints, casts, boots or occasionally a steroid injection may lead to resolution. 

Q:  Is surgery an option?
A:  Surgical treatment is a last resort for chronic conditions and is rarely needed.  It is important to begin treatment early so as to prevent it from becoming a chronic condition.

Q:  Are there other conditions similar to plantar fasciitis?
A:  Patients with a stress fracture, Achilles tendinitis, loss of cushion in the heel, or nerve entrapment can have similar complaints as patients with plantar fasciitis.  Additionally, patients with underlying foot conditions are more prone to plantar fasciitis. 

Q:  What is your advice for patients with these issues?
A:  Your orthopedic specialist can perform an evaluation to rule out these other conditions before you begin your treatment plan.