Plantar Fasciitis

“My foot kills me first thing in the morning when I get out of bed.”

Pain in the heel and arch after rest is a very common complaint for those suffering with this condition. Most people find the pain will lighten-up after the first 2-3 minutes of walking, but as their activity and time on their feet increase, the pain often returns.

The doctor may have the person stand on the floor bare-footed and observe what the arch does under pressure. This is one of the most basic and simple tests that can be performed in evaluating a person’s arch.       

Having a person raise into a “tip-toe” position and watching if the arch raises will help determine if the flat-footedness is due to muscle weakness or skeletal deformity.                     

Other tests that may be utilized to evaluate a flat foot may include studies such as X-rays, MRI and CT scans, or Ultrasound.

The treatment of this condition is very broad based and varies from over the counter arch supports, to surgical release of the ligament. Typically treatment will begin using some sort of support in the shoe. Walking barefoot is discouraged in anyone suffering with this condition. Oral anti-inflammatories and stretching of the ligament is encouraged.

 If the symptoms persist then your podiatrist will usually try a specialized taping technique, or prescription orthotics (arch supports made from a mold of the persons foot). Injectable cortisone or Rx. Medication may also be used. Casting or boot immobilization may also be required.

In the most severe cases of plantar fasciitis, surgery may be considered. During this procedure the ligament is partially cut to release tension.