Plantar Fasciitis / Heel Spurs

What is Plantar Fasciitis / Heel Spurs?

Plantar fasciitis is an inflammation of the plantar fascia, a thick band of tissue that runs across the bottom of the foot and connects the heel to the toes. Heel spurs are bony growths that develop on the underside of the heel bone and can often be associated with plantar fasciitis. Both conditions can cause heel pain, especially during activities such as walking or standing.

What are Common Causes of Plantar Fasciitis / Heel Spurs?

- Repetitive Stress
- Biomechanical Issues
- Improper Footwear
- Obesity
- Tight Calf Muscles

What are the Symptoms of Plantar Fasciitis / Heel Spurs?

- Pain
- Stiffness
- Swelling
- Tenderness
- Fatigue

FAQ

Common risk factors for developing plantar fasciitis or heel spurs include excessive foot arch (high or low arches), obesity, prolonged standing or walking on hard surfaces, wearing inappropriate footwear, increased age, sudden increase in physical activity, tight calf muscles, and occupations or activities that place stress on the heel.

Healthcare professionals diagnose plantar fasciitis and heel spurs primarily through a physical examination and patient history. They check for tenderness in the foot, particularly near the heel, and may ask about the type and duration of pain. Imaging tests such as X-rays or ultrasounds may be used to rule out other conditions and confirm the presence of a heel spur if suspected.

Available treatment options for plantar fasciitis and heel spurs include rest, ice application, stretching exercises, physical therapy, orthotic devices, night splints, nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroid injections, extracorporeal shock wave therapy, and, in severe cases, surgery.

You should consider seeing a podiatrist for plantar fasciitis or heel spur symptoms when you first notice persistent pain in your heel or the bottom of your foot, particularly if the discomfort is most pronounced with your first steps in the morning or after sitting for long periods. If the pain does not improve with basic home care measures such as rest, ice, over-the-counter pain medication, or stretching exercises, it is essential to consult a podiatrist. Additionally, if the pain is severe, worsening over time, or accompanied by swelling, redness, or limited motion in your foot, professional evaluation is important to prevent further complications. A podiatrist will provide a comprehensive diagnosis, recommend effective treatment options, and offer guidance on preventing recurrence, ensuring that you receive the most appropriate care for your condition. Early intervention can help facilitate quicker recovery and avoid potential long-term issues associated with untreated plantar fasciitis or heel spurs.

Preventing the recurrence of plantar fasciitis and heel spurs involves adopting a combination of lifestyle changes and therapeutic interventions. It’s essential to wear well-fitted, supportive shoes that offer adequate arch support and cushioning. Custom orthotics or insoles can provide additional support tailored to your specific needs. Incorporating a regular regimen of stretching and strengthening exercises for the foot and calf muscles can significantly improve flexibility and reduce strain on the plantar fascia. Maintaining a healthy weight is also crucial, as excess weight can increase the pressure on your feet. It’s advisable to gradually increase the intensity of your physical activities to avoid overloading your feet abruptly. Additionally, applying ice and considering anti-inflammatory medications might help manage any inflammation or discomfort. Consistent attention to foot health through these practices can be effective in preventing the recurrence of these common foot problems.

Foot & Ankle
Center of Ohio