Heel Pain is Commonly Due to Plantar Fasciitis
Plantar fasciitis is the most common musculoskeletal problem seen in the foot. The plantar fascia is a strong ligament that runs across the bottom of the foot connecting the heel to the ball of the foot. Given the position of this ligament, its function is to hold up the arch of the foot. As it has this role, anything that increases the load on the arch of the foot is likely to be a factor in causing and excessive load on the structure that supports it. This results in an inflammation and degeneration of the ligament structure causing plantar fasciitis.
The most common causes of plantar fasciitis are overuse, as in athletes; excessive bodyweight; tight calf muscles; and poor foot biomechanics. All this increase the load on the plantar fascia. The main symptoms of plantar fasciitis are pain at the insertion of the ligament into the heel. A characteristic symptom is worse pain in the first few steps after rest, especially on getting put of be in the morning. Some doctors will use ultrasound to assess the thickness of the plantar fascia as part of the diagnosis, but the clinical symptoms are very obvious.
The treatment for plantar fasciitis is primarily directed at reducing the load in the plantar fascia. This is achieved with the use of strapping and foot orthotics. Stretching of the plantar fascia and calf muscles are also extremely important. If possible, a reduction in body weight will help in the long term. There are many other treatments advocated for plantar fasciitis, but all they are help for is helping the tissues heal and do not reduce the load in the structure which is important for long term management.
