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Plantar Fasciitis
Plantar fasciitis is pain beneath the heel that radiates from inside the heel bone. It is also the most common cause of heel pain, affecting around 10% of the population. Plantar fasciitis occurs when the strong plantar plate in the foot, known as the plantar fascia and extending from the heel to the toe joints, becomes inflamed. Due to mechanical overload and inflammation of the plantar fascia, a bony process (heel spur) can sometimes be detected on X-rays. Known as a heel spur, it is the consequence of constantly recurring inflammation. However, doctors do not see it as the cause of the symptoms. Foot specialists can diagnose plantar fasciitis at the initial consultation.
Foot
Injury
What is Plantar Fasciitis?
Overload of the plantar fascia is often triggered by sports. Athletes who do a lot of running are particularly affected. Most amateur or professional athletes between the ages of 40 and 50 begin to suffer.
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Symptoms of Plantar Fasciitis
Patients often complain of the following symptoms:
- start-up pain in the morning around the heel, which gets better with movement and recurs when resting
- pain during warm-up, which gets worse when jumping or during start-stop movements
Accompanying symptoms might also include:
- Over exertion when running if the calf is shortened
- Flatfeet combined with significant weight gain
- Flatfeet getting worse after pregnancy
What Is the Treatment for Plantar Fasciitis?
Orthopedic specialists usually treat plantar fasciitis in three stages:
- Search for the cause through detailed diagnostics (ultrasound, MRI, etc)
- Rapid relief of symptoms–for example, through kinesiotapes, shock wave therapy, silicone heel pads, passive insoles with soft silicone cushioning, etc
- Medium to long-term relief of symptoms: active insoles, electrical muscle stimulation, osteopathy, etc
Surgery is only rarely an option if, for example, the symptoms have not improved significantly after 6 to 12 months of conservative treatment. During conservative treatment as well as following surgery, ACP therapy can be used as a supportive measure to regenerate the injured plantar fascia without side effects.
