Planter fasciitis or painful heel

Plantar fasciitis is one of the most common causes of heel pain. It involves inflammation of a thick band of tissue(Plantar fascia) that runs across the bottom of your foot and connects your heel bone to your toes.

Plantar fasciitis commonly causes stabbing pain that usually occurs with your first steps in the morning. As you get up and move, the pain normally decreases, but it might return after long periods of standing or when you stand up after sitting.

Plantar fasciitis is more common in runners. People who are overweight and those who wear shoes with inadequate support also have an increased risk of plantar fasciitis.

(Journal of the American Podiatric Medical Association,2003) study suggested that the condition may involve degeneration rather than inflammation of the plantar fascia. Because fasciitis means “inflammation of a fascia,” a better name may be plantar fasciosis.

Risk factors or Causes--

•Age- Active men and women between the ages of 40-70 are at the highest risk for developing plantar fasciitis. It’s also slightly more common in women than men.

•Pregnancy- Women who are pregnant often experience bouts of plantar fasciitis, particularly during late pregnancy.

•Obesity- You’re at a greater risk of developing plantar fasciitis if you’re overweight or obese.

•Sports- If you’re a long-distance runner or jumper, you may be more likely to develop plantar fascia problems.

•Heel spurs- Plantar fasciitis isn’t typically the result of heel spurs. Doctors used to believe that heel spurs caused pain in people with plantar fasciitis.

•Flat feet- If you have structural foot problem such as flat feet,you may be more likely to develop plantar fascia problems.

Sign & symptoms-

•pain at the bottom of the heel or sometimes at the bottom mid-foot area.

•Pain develops gradually over time. 

•The pain can be dull or sharp. 

•Some people feel a burning.

•The pain is usually worse in the morning.

•Climbing stairs can be very difficult due to heel stiffness.

•After prolonged activity, the pain can flare up due to increased irritation or inflammation.

•A swollen heel.

•A tight Achilles tendon (80% of people report this symptom).

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